{"npi":"1689742439","type":"NPI-2","status":"active","name":{"display":"Mosaic","other":[],"organization_name":"MOSAIC","authorised_official":"Scott Hoffman"},"specialty":{"primary_taxonomy":"320800000X","primary_taxonomy_description":"Mental Illness Community Based Residential Treatment Facility","slug":"mental-illness-community-based-residential-treatment-facility","schema_org_specialty":null,"all":[{"code":"103TM1800X","description":"Intellectual & Developmental Disabilities Psychologist","primary":false,"state":null,"license":null},{"code":"103TR0400X","description":"Rehabilitation Psychologist","primary":false,"state":null,"license":null},{"code":"320800000X","description":"Mental Illness Community Based Residential Treatment Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"261 CHAPMAN RD STE 201","city":"NEWARK","state":"DE","postal_code":"197025428","country_code":"US","phone":"3024565995","fax":"3024565998"},{"purpose":"MAILING","street_1":"4980 S 118TH ST","city":"OMAHA","state":"NE","postal_code":"681372200","country_code":"US","phone":"4028963884","fax":"4028961511"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"200003867","state":"DE","issuer":null},{"type_code":"01","label":"Other","value":"1000036571","state":"DE","issuer":"DE ELECTRONIC BILLING #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-01","last_updated":"2024-09-18","_meta":{"source":"NPPES","snapshot_date":"2024-09-18","doc_url":"https://findmynpi.com/api"}}