{
  "npi": "1003824855",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MBA, MS, MSW, LCSW-R",
    "authorized_official_first_name": "SHARON",
    "authorized_official_last_name": "MACDOUGALL",
    "authorized_official_middle_name": "CONATY",
    "authorized_official_telephone_number": "7162012518",
    "authorized_official_title_or_position": "Director of Community Services",
    "certification_date": "2026-03-12",
    "enumeration_date": "2006-08-04",
    "last_updated": "2026-03-12",
    "organization_name": "COUNTY OF WAYNE",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1519 NYE RD STE 110",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LYONS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "315-946-7079",
      "postal_code": "144899112",
      "state": "NY",
      "telephone_number": "315-946-5722"
    },
    {
      "address_1": "1519 NYE ROAD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LYONS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "315-946-7079",
      "postal_code": "14489",
      "state": "NY",
      "telephone_number": "315-946-5722"
    }
  ],
  "taxonomies": [
    {
      "code": "261QR0405X",
      "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
      "license": "090511102",
      "primary": false,
      "state": "NY",
      "taxonomy_group": ""
    },
    {
      "code": "261QM0801X",
      "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
      "license": "6898100A",
      "primary": true,
      "state": "NY",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Community Mental Health Center"
      }
    ]
  }
}