{"npi":"1801928593","type":"NPI-2","status":"active","name":{"display":"Mercy Medical Center","other":[],"organization_name":"MERCY MEDICAL CENTER","authorised_official":"Kerry Monson"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"103T00000X","description":"Psychologist","primary":false,"state":"ND","license":"5052A"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"ND","license":"5052A"},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"ND","license":"5052A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1301 15TH AVE W","city":"WILLISTON","state":"ND","postal_code":"588013821","country_code":"US","phone":"7017747401","fax":"7017747479"},{"purpose":"MAILING","street_1":"1301 15TH AVE W","city":"WILLISTON","state":"ND","postal_code":"588013821","country_code":"US","phone":"7017747401","fax":"7017747479"}],"license":{"state":"ND","number":"5052A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"11684","state":"ND","issuer":null},{"type_code":"01","label":"Other","value":"711002","state":"ND","issuer":"BLUE SHIELD OF ND"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031230000336","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ND","pac_id":"7416851381"}]},"enumeration_date":"2007-03-09","last_updated":"2008-06-23","_meta":{"source":"NPPES","snapshot_date":"2008-06-23","doc_url":"https://findmynpi.com/api"}}