{
  "npi": "1023179538",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "Psy.D., M.P.",
    "enumeration_date": "2006-12-12",
    "first_name": "JOHN",
    "last_name": "COURTNEY",
    "last_updated": "2015-06-09",
    "middle_name": "C",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 2267",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SANTA FE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "505-992-4990",
      "postal_code": "875042267",
      "state": "NM",
      "telephone_number": "505-982-5565"
    },
    {
      "address_1": "1200 HIGHWAY 60",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SOCORRO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "575-838-0150",
      "postal_code": "878013914",
      "state": "NM",
      "telephone_number": "575-835-2444"
    }
  ],
  "taxonomies": [
    {
      "code": "103TP0016X",
      "desc": "Psychologist, Prescribing (Medical)",
      "license": "MPAP000019",
      "primary": false,
      "state": "LA",
      "taxonomy_group": ""
    },
    {
      "code": "103G00000X",
      "desc": "Clinical Neuropsychologist",
      "license": "1232",
      "primary": false,
      "state": "NM",
      "taxonomy_group": ""
    },
    {
      "code": "103TP0016X",
      "desc": "Psychologist, Prescribing (Medical)",
      "license": "0024",
      "primary": true,
      "state": "NM",
      "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 & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "62",
        "medicare_type": "Psychologist, Clinical"
      }
    ]
  }
}