{
  "npi": "1134614480",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "Ph.D.",
    "authorized_official_first_name": "ANTOINETTE",
    "authorized_official_last_name": "WELSH",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "9082340940",
    "authorized_official_title_or_position": "Psychologist",
    "enumeration_date": "2018-06-28",
    "last_updated": "2018-06-28",
    "organization_name": "BRAINWORKS NEUROPSYCHOLOGY CONSULTANTS, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "201 PLEASANT HILL RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHESTER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "079302141",
      "state": "NJ",
      "telephone_number": "973-252-6380"
    },
    {
      "address_1": "10 PHEASANT RUN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GLADSTONE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "079342112",
      "state": "NJ"
    }
  ],
  "taxonomies": [
    {
      "code": "103G00000X",
      "desc": "Clinical Neuropsychologist",
      "license": "35SI00565100",
      "primary": true,
      "state": "NJ",
      "taxonomy_group": "193400000X - Single Specialty 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 Clinical Neuropsychologist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}