{
"Npi": {
"NPI": "1366383358",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PENDULUM SUPPORT SERVICES LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1219 N PARK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WELLINGTON",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "67152-3631",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "316-214-9445",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1219 N PARK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WELLINGTON",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "67152-3631",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "316-214-9445",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/02/2026",
"LastUpdateDate": "04/02/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MURPHY",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "316-214-9445",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "175T00000X",
"TaxonomyName": "Peer Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}