{"npi":"1669200580","type":"NPI-1","status":"active","name":{"display":"Jenine Tulledge-Wolff","other":[],"first":"JENINE","last":"TULLEDGE-WOLFF"},"specialty":{"primary_taxonomy":"103G00000X","primary_taxonomy_description":"Clinical Neuropsychologist","slug":"clinical-neuropsychologist","schema_org_specialty":null,"all":[{"code":"103G00000X","description":"Clinical Neuropsychologist","primary":true,"state":"CT","license":"4799"}]},"addresses":[{"purpose":"LOCATION","street_1":"231 FARMINGTON AVE","city":"FARMINGTON","state":"CT","postal_code":"060321940","country_code":"US","phone":"7164743703"},{"purpose":"MAILING","street_1":"231 FARMINGTON AVE","city":"FARMINGTON","state":"CT","postal_code":"060321940","country_code":"US"}],"license":{"state":"CT","number":"4799"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240926004547","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"CT","pac_id":"3779014097"}]},"enumeration_date":"2024-07-23","last_updated":"2024-07-23","_meta":{"source":"NPPES","snapshot_date":"2024-07-23","doc_url":"https://findmynpi.com/api"}}