{"npi":"1922480946","type":"NPI-1","status":"active","name":{"display":"John Pietrzak PSY.D.","other":[],"first":"JOHN","last":"PIETRZAK","credential":"PSY.D."},"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":"PSY27360"}]},"addresses":[{"purpose":"LOCATION","street_1":"21838 ENCINA RD","city":"TOPANGA","state":"CA","postal_code":"902903527","country_code":"US","phone":"3106637163"},{"purpose":"MAILING","street_1":"21838 ENCINA RD","city":"TOPANGA","state":"CA","postal_code":"902903527","country_code":"US","phone":"3106637163"}],"license":{"state":"CA","number":"PSY27360"},"identifiers":[{"type_code":"01","label":"Other","value":"PSY27360","state":"CA","issuer":"STATE LICENSE"},{"type_code":"05","label":"Medicaid","value":"CB240514","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150908002375","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"CA","pac_id":"2062728991"}]},"enumeration_date":"2015-06-25","last_updated":"2024-12-13","_meta":{"source":"NPPES","snapshot_date":"2024-12-13","doc_url":"https://findmynpi.com/api"}}