{"npi":"1700610508","type":"NPI-2","status":"active","name":{"display":"Transformative Healthcare Solutions West LLC","other":[],"organization_name":"TRANSFORMATIVE HEALTHCARE SOLUTIONS WEST LLC","authorised_official":"Ann Monis"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":null,"license":null},{"code":"106H00000X","description":"Marriage & Family Therapist","primary":false,"state":null,"license":null},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4820 W GANDY BLVD","city":"TAMPA","state":"FL","postal_code":"336113003","country_code":"US","phone":"9548859500","fax":"9548859444"},{"purpose":"MAILING","street_1":"1848 SE 1ST AVE","city":"FORT LAUDERDALE","state":"FL","postal_code":"333162875","country_code":"US","phone":"9548859500","fax":"9548859444"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250326004137","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"6103349568"}]},"enumeration_date":"2024-08-26","last_updated":"2024-08-27","_meta":{"source":"NPPES","snapshot_date":"2024-08-27","doc_url":"https://findmynpi.com/api"}}