{"npi":"1750615829","type":"NPI-2","status":"active","name":{"display":"Northland Behavioral Health & Wellness, LLC","other":[],"organization_name":"NORTHLAND BEHAVIORAL HEALTH & WELLNESS, LLC","authorised_official":"Amy Shoffner"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"MO","license":"2005004519"}]},"addresses":[{"purpose":"LOCATION","street_1":"119 NE 72ND ST","city":"GLADSTONE","state":"MO","postal_code":"641181826","country_code":"US","phone":"8164203130","fax":"8167340083"},{"purpose":"MAILING","street_1":"119 NE 72ND ST","city":"GLADSTONE","state":"MO","postal_code":"641181826","country_code":"US","phone":"8164203130","fax":"8167340083"}],"license":{"state":"MO","number":"2005004519"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091013000562","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MO","pac_id":"4486790094"}]},"enumeration_date":"2009-09-23","last_updated":"2009-09-23","_meta":{"source":"NPPES","snapshot_date":"2009-09-23","doc_url":"https://findmynpi.com/api"}}