{"npi":"1972812840","type":"NPI-1","status":"active","name":{"display":"Amy Wilson PSY.D.","other":[],"first":"AMY","last":"WILSON","middle":"RENEE","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":"CO","license":"13829"},{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":null,"license":null},{"code":"103T00000X","description":"Psychologist","primary":false,"state":"MO","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1167 CORPORATE LAKE DR","city":"SAINT LOUIS","state":"MO","postal_code":"631321716","country_code":"US","phone":"3149682350"},{"purpose":"MAILING","street_1":"1167 CORPORATE LAKE DR","city":"SAINT LOUIS","state":"MO","postal_code":"631321716","country_code":"US"}],"license":{"state":"CO","number":"13829"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-09-27","last_updated":"2021-07-01","_meta":{"source":"NPPES","snapshot_date":"2021-07-01","doc_url":"https://findmynpi.com/api"}}