{"npi":"1972987998","type":"NPI-2","status":"active","name":{"display":"Fairbanks Community Mental Health Services, LLC","other":[],"organization_name":"FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC","authorised_official":"Amy Morrow"},"specialty":{"primary_taxonomy":"103TP0016X","primary_taxonomy_description":"Prescribing (Medical) Psychologist","slug":"prescribing-medical-psychologist","schema_org_specialty":null,"all":[{"code":"103TR0400X","description":"Rehabilitation Psychologist","primary":false,"state":null,"license":null},{"code":"103TP0016X","description":"Prescribing (Medical) Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3830 S CUSHMAN ST","city":"FAIRBANKS","state":"AK","postal_code":"997017530","country_code":"US","phone":"9073711300","fax":"9077708917"},{"purpose":"MAILING","street_1":"4020 FOLKER ST","city":"ANCHORAGE","state":"AK","postal_code":"995085321","country_code":"US","phone":"9075611000","fax":"9077708917"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"K165350","state":"AK","issuer":"MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-07-20","last_updated":"2015-07-20","_meta":{"source":"NPPES","snapshot_date":"2015-07-20","doc_url":"https://findmynpi.com/api"}}