{"npi":"1992939201","type":"NPI-2","status":"active","name":{"display":"Wellpsyche, Inc.","other":[],"organization_name":"WELLPSYCHE, INC.","authorised_official":"Shanna Melton"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"501 BROAD ST STE 306","city":"ROME","state":"GA","postal_code":"301613096","country_code":"US","phone":"7062328330","fax":"8448734760"},{"purpose":"MAILING","street_1":"501 BROAD ST STE 306","city":"ROME","state":"GA","postal_code":"301613096","country_code":"US","phone":"7062328330","fax":"8448734760"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"434425435D","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230804003704","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"2668833740"}]},"enumeration_date":"2009-05-14","last_updated":"2023-06-21","_meta":{"source":"NPPES","snapshot_date":"2023-06-21","doc_url":"https://findmynpi.com/api"}}