{
  "npi": "1164097721",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-04-13",
    "credential": "DO",
    "enumeration_date": "2021-05-25",
    "first_name": "NISHA",
    "last_name": "JAMBULINGAM",
    "last_updated": "2026-04-13",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
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    {
      "address_1": "6929 CATHEDRAL DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BLOOMFIELD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "483013727",
      "state": "MI",
      "telephone_number": "248-508-4121"
    },
    {
      "address_1": "1760 S TELEGRAPH RD STE 220",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BLOOMFIELD HILLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "248-671-0922",
      "postal_code": "483020183",
      "state": "MI",
      "telephone_number": "517-492-0784"
    }
  ],
  "taxonomies": [
    {
      "code": "2084P0800X",
      "desc": "Psychiatry & Neurology, Psychiatry",
      "license": "5101028877",
      "primary": true,
      "state": "MI",
      "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": "Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)",
    "certifying_board": "American Board of Psychiatry and Neurology (ABPN)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "26",
        "medicare_type": "Physician/Psychiatry"
      },
      {
        "medicare_code": "86",
        "medicare_type": "Physician/Neuropsychiatry"
      }
    ]
  }
}