{"npi":"1982147302","type":"NPI-2","status":"active","name":{"display":"Wise Mind PLLC","other":[],"organization_name":"WISE MIND PLLC","authorised_official":"Antoinette Crocilla"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"127 N WASHINGTON ST","city":"YPSILANTI","state":"MI","postal_code":"481972619","country_code":"US","phone":"7346825544"},{"purpose":"MAILING","street_1":"127 N WASHINGTON ST","city":"YPSILANTI","state":"MI","postal_code":"481972619","country_code":"US","phone":"7346825544"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-12-02","last_updated":"2022-02-14","_meta":{"source":"NPPES","snapshot_date":"2022-02-14","doc_url":"https://findmynpi.com/api"}}