{"npi":"1952301079","type":"NPI-2","status":"active","name":{"display":"Southeastern Psychological Services","other":[],"organization_name":"SOUTHEASTERN PSYCHOLOGICAL SERVICES","authorised_official":"Linda Oliver-Link"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"NC","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"302 N MAIN ST","city":"FAIRMONT","state":"NC","postal_code":"283401730","country_code":"US","phone":"9106286718","fax":"9106286719"},{"purpose":"MAILING","street_1":"302 N MAIN ST","city":"FAIRMONT","state":"NC","postal_code":"283401730","country_code":"US","street_2":"PO BOX 369","phone":"9106286718","fax":"9106286719"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"0384M","state":"NC","issuer":"BCBS"},{"type_code":"05","label":"Medicaid","value":"6005435","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"1318H","state":"NC","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-29","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}