{"npi":"1679709802","type":"NPI-2","status":"active","name":{"display":"Psj Acquisition LLC","other":[],"organization_name":"PSJ ACQUISITION LLC","authorised_official":"Steve Filton"},"specialty":{"primary_taxonomy":"283Q00000X","primary_taxonomy_description":"Psychiatric Hospital","slug":"psychiatric-hospital","schema_org_specialty":null,"all":[{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":null,"license":null},{"code":"283Q00000X","description":"Psychiatric Hospital","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"510 4TH ST S","city":"FARGO","state":"ND","postal_code":"58103","country_code":"US","phone":"7014767200","fax":"7012805789"},{"purpose":"MAILING","street_1":"510 4TH ST S","city":"FARGO","state":"ND","postal_code":"58103","country_code":"US","phone":"7014767200","fax":"7012805789"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"11051","state":"ND","issuer":null},{"type_code":"05","label":"Medicaid","value":"99725100","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090918000240","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ND","pac_id":"7012062235"},{"enrlmt_id":"O20091001000127","type_code":"00-09","type_desc":"PART A PROVIDER - HOSPITAL","state":"ND","pac_id":"7012062235"}]},"enumeration_date":"2009-06-02","last_updated":"2024-04-29","_meta":{"source":"NPPES","snapshot_date":"2024-04-29","doc_url":"https://findmynpi.com/api"}}