{"npi":"1730748435","type":"NPI-2","status":"active","name":{"display":"Next Gen Medicus","other":[],"organization_name":"NEXT GEN MEDICUS","authorised_official":"Crystal Alejo"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103TA0400X","description":"Addiction (Substance Use Disorder) Psychologist","primary":false,"state":null,"license":null},{"code":"103TP2701X","description":"Group Psychotherapy Psychologist","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"103T00000X","description":"Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2075 S COTTONWOOD DR","city":"TEMPE","state":"AZ","postal_code":"852823040","country_code":"US","phone":"6023621823"},{"purpose":"MAILING","street_1":"2075 S COTTONWOOD DR","city":"TEMPE","state":"AZ","postal_code":"852823040","country_code":"US","phone":"6023621823"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"595199","state":"AZ","issuer":null},{"type_code":"01","label":"Other","value":"44177","state":"AZ","issuer":"AZ LICENSE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-06-07","last_updated":"2019-09-04","_meta":{"source":"NPPES","snapshot_date":"2019-09-04","doc_url":"https://findmynpi.com/api"}}