{"npi":"1902298250","type":"NPI-1","status":"active","name":{"display":"Dr. Roberta Wildblood PSYD, Ms, RN","other":[],"first":"ROBERTA","last":"WILDBLOOD","middle":"ANN","credential":"PSYD, MS, RN"},"specialty":{"primary_taxonomy":"103TC2200X","primary_taxonomy_description":"Clinical Child & Adolescent Psychologist","slug":"clinical-child-adolescent-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":"FL","license":"PY8711"},{"code":"103TC2200X","description":"Clinical Child & Adolescent Psychologist","primary":true,"state":"FL","license":"PY8711"}]},"addresses":[{"purpose":"LOCATION","street_1":"1400 N SEMORAN BLVD","city":"ORLANDO","state":"FL","postal_code":"328073536","country_code":"US","street_2":"SUITE E","phone":"4078238421","fax":"4078238195"},{"purpose":"MAILING","street_1":"1400 N SEMORAN BLVD","city":"ORLANDO","state":"FL","postal_code":"328073536","country_code":"US","street_2":"SUITE E","phone":"4078238421","fax":"4078238195"}],"license":{"state":"FL","number":"PY8711"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150318002596","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"FL","pac_id":"0840517421"}]},"enumeration_date":"2015-02-24","last_updated":"2015-02-24","_meta":{"source":"NPPES","snapshot_date":"2015-02-24","doc_url":"https://findmynpi.com/api"}}