{"npi":"1881027720","type":"NPI-1","status":"active","name":{"display":"Matthew Thibeault","other":[],"first":"MATTHEW","last":"THIBEAULT","middle":"ALEXANDER"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"CA","license":"30494"}]},"addresses":[{"purpose":"LOCATION","street_1":"7901 FROST ST","city":"SAN DIEGO","state":"CA","postal_code":"921232701","country_code":"US","phone":"7609356522"},{"purpose":"MAILING","street_1":"153 S SIERRA AVE UNIT 1172","city":"SOLANA BEACH","state":"CA","postal_code":"920758048","country_code":"US","phone":"7609356522","fax":"7609356522"}],"license":{"state":"CA","number":"30494"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-08-14","last_updated":"2024-06-13","_meta":{"source":"NPPES","snapshot_date":"2024-06-13","doc_url":"https://findmynpi.com/api"}}