{"npi":"1972187839","type":"NPI-1","status":"active","name":{"display":"Elyssa Max RN","other":[],"first":"ELYSSA","last":"MAX","middle":"HAGEN","credential":"RN"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"NY","license":"727162"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"NY","license":"403516"}]},"addresses":[{"purpose":"LOCATION","street_1":"713 HARRISON ST","city":"SYRACUSE","state":"NY","postal_code":"132102305","country_code":"US","phone":"3154643105"},{"purpose":"MAILING","street_1":"713 HARRISON ST","city":"SYRACUSE","state":"NY","postal_code":"132102305","country_code":"US","phone":"3154643105"}],"license":{"state":"NY","number":"403516"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210721004070","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NY","pac_id":"7618370156"}]},"enumeration_date":"2021-05-07","last_updated":"2021-06-21","_meta":{"source":"NPPES","snapshot_date":"2021-06-21","doc_url":"https://findmynpi.com/api"}}