{"npi":"1801359872","type":"NPI-1","status":"active","name":{"display":"Nicole Caugherty Han","other":[],"first":"NICOLE","last":"CAUGHERTY HAN"},"specialty":{"primary_taxonomy":"103G00000X","primary_taxonomy_description":"Clinical Neuropsychologist","slug":"clinical-neuropsychologist","schema_org_specialty":null,"all":[{"code":"103G00000X","description":"Clinical Neuropsychologist","primary":true,"state":null,"license":null},{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":"MI","license":"6301019400"}]},"addresses":[{"purpose":"LOCATION","street_1":"3292 N EVERGREEN DR NE","city":"GRAND RAPIDS","state":"MI","postal_code":"495259746","country_code":"US","phone":"6163658920"},{"purpose":"MAILING","street_1":"300 68TH ST SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495486927","country_code":"US","phone":"6164555000"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20251027000370","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"MI","pac_id":"6002305521"}]},"enumeration_date":"2019-04-08","last_updated":"2025-09-22","_meta":{"source":"NPPES","snapshot_date":"2025-09-22","doc_url":"https://findmynpi.com/api"}}