{"npi":"1972713626","type":"NPI-1","status":"active","name":{"display":"Phyllis Burson PHD","other":[{"code":"1","type":"Formerly known as","value":"BIESEMEIER, PHYLLIS JEAN"}],"first":"PHYLLIS","last":"BURSON","middle":"JEAN","credential":"PHD"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"MD","license":"1075"}]},"addresses":[{"purpose":"LOCATION","street_1":"7501 ELMORE LANE","city":"BETHESDA","state":"MD","postal_code":"20817","country_code":"US","phone":"3012299224"},{"purpose":"MAILING","street_1":"7501 ELMORE LANE","city":"BETHESDA","state":"MD","postal_code":"20817","country_code":"US","phone":"3012299224"}],"license":{"state":"MD","number":"1075"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"216241500","state":"MD","issuer":null},{"type_code":"01","label":"Other","value":"A910MEMBER0001","state":null,"issuer":"CARE FIRST BCBS NCA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040922000580","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"DC","pac_id":"3971571449"}]},"enumeration_date":"2007-05-23","last_updated":"2012-08-21","_meta":{"source":"NPPES","snapshot_date":"2012-08-21","doc_url":"https://findmynpi.com/api"}}