{"npi":"1679899280","type":"NPI-2","status":"active","name":{"display":"Grand Rapids Center For Psychotherapy PLLC","other":[],"organization_name":"GRAND RAPIDS CENTER FOR PSYCHOTHERAPY PLLC","authorised_official":"Carolyn Carino"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":"MI","license":"680103034469"}]},"addresses":[{"purpose":"LOCATION","street_1":"4519 CASCADE RD SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495463666","country_code":"US","street_2":"SUITE 3","phone":"6169496262","fax":"6164252003"},{"purpose":"MAILING","street_1":"4519 CASCADE RD SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495463666","country_code":"US","street_2":"SUITE 3","phone":"6169496262","fax":"6164252003"}],"license":{"state":"MI","number":"680103034469"},"identifiers":[{"type_code":"01","label":"Other","value":"6801034469","state":"MI","issuer":"STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH LICENSE"},{"type_code":"01","label":"Other","value":"881817049","state":null,"issuer":"NATIONAL ASSOCIATION OF SOCIAL WORKERS ACADEMY OF CERTIFIED SOCIAL WORKERS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-04-08","last_updated":"2011-04-14","_meta":{"source":"NPPES","snapshot_date":"2011-04-14","doc_url":"https://findmynpi.com/api"}}