{"npi":"1710053301","type":"NPI-1","status":"active","name":{"display":"Mr. Michael Hitzelberger Ma Lp","other":[],"first":"MICHAEL","last":"HITZELBERGER","credential":"MA LP"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"MN","license":"LP3538"}]},"addresses":[{"purpose":"LOCATION","street_1":"425 COON RAPIDS BLVD #200","city":"COON RAPIDS","state":"MN","postal_code":"58433","country_code":"US","street_2":"NSCC","phone":"7637843008","fax":"7637843647"},{"purpose":"MAILING","street_1":"425 COON RAPIDS BLVD #200","city":"COON RAPIDS","state":"MN","postal_code":"58433","country_code":"US","street_2":"NSCC","phone":"7637843008","fax":"7637843647"}],"license":{"state":"MN","number":"LP3538"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"437709500","state":"MN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-27","last_updated":"2012-01-05","_meta":{"source":"NPPES","snapshot_date":"2012-01-05","doc_url":"https://findmynpi.com/api"}}