{"npi":"1720104615","type":"NPI-1","status":"active","name":{"display":"Laura Fannon PSYD Intern","other":[],"first":"LAURA","last":"FANNON","middle":"E","credential":"PSYD INTERN"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"760 HARRISON ST","city":"SAN FRANCISCO","state":"CA","postal_code":"941071235","country_code":"US","phone":"4158361700","fax":"4158361737"},{"purpose":"MAILING","street_1":"1179 N MCDOWELL BLVD","city":"PETALUMA","state":"CA","postal_code":"949546559","country_code":"US","phone":"7075597500","fax":"7075597620"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"9942","state":null,"issuer":"SFGH INTERNAL USE ONLY"},{"type_code":"01","label":"Other","value":"9942","state":null,"issuer":"CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161103002574","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"CA","pac_id":"7214215706"}]},"enumeration_date":"2007-03-22","last_updated":"2019-11-15","_meta":{"source":"NPPES","snapshot_date":"2019-11-15","doc_url":"https://findmynpi.com/api"}}