{"npi":"1912908963","type":"NPI-1","status":"active","name":{"display":"Dr. Jerrell Driver PHD","other":[],"first":"JERRELL","last":"DRIVER","middle":"LEE","credential":"PHD"},"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":"MO","license":"PY 00099"}]},"addresses":[{"purpose":"LOCATION","street_1":"2387 W JACKSON BLVD","city":"JACKSON","state":"MO","postal_code":"637553024","country_code":"US","street_2":"SUITE B","phone":"5732047771","fax":"5732047771"},{"purpose":"MAILING","street_1":"POST OFFICE BOX 1642","city":"CAPE GIRARDEAU","state":"MO","postal_code":"637021642","country_code":"US","phone":"5732047771","fax":"5732047771"}],"license":{"state":"MO","number":"PY 00099"},"identifiers":[{"type_code":"01","label":"Other","value":"PY00099","state":null,"issuer":"MO-LICENSE PSYCHOLOGIST"},{"type_code":"05","label":"Medicaid","value":"493204309","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120105000342","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"MO","pac_id":"9234305756"}]},"enumeration_date":"2005-08-02","last_updated":"2011-09-10","_meta":{"source":"NPPES","snapshot_date":"2011-09-10","doc_url":"https://findmynpi.com/api"}}