{"npi":"1790207876","type":"NPI-2","status":"active","name":{"display":"Center For Dynamic And Behavioral Therapy LLC","other":[],"organization_name":"CENTER FOR DYNAMIC AND BEHAVIORAL THERAPY LLC","authorised_official":"Nicole Issa"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":"RI","license":"PS01615"},{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"RI","license":"PS01616"}]},"addresses":[{"purpose":"LOCATION","street_1":"382 THAYER ST","city":"PROVIDENCE","state":"RI","postal_code":"029061558","country_code":"US","phone":"4013305882","fax":"4012260137"},{"purpose":"MAILING","street_1":"11 S ANGELL ST # 405","city":"PROVIDENCE","state":"RI","postal_code":"029065206","country_code":"US","phone":"4013305882","fax":"4012260137"}],"license":{"state":"RI","number":"PS01616"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-07-11","last_updated":"2021-07-25","_meta":{"source":"NPPES","snapshot_date":"2021-07-25","doc_url":"https://findmynpi.com/api"}}