{
  "npi": "1174029177",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PsyD",
    "authorized_official_first_name": "ANN",
    "authorized_official_last_name": "SMITH",
    "authorized_official_middle_name": "EMILIE-CLARE",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "2485352647",
    "authorized_official_title_or_position": "Psychologist",
    "enumeration_date": "2018-03-30",
    "last_updated": "2018-03-30",
    "organization_name": "ANN EMILIE-CLARE SMITH PSYD LP P.C.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2209 SUNNYKNOLL AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BERKLEY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "480721791",
      "state": "MI",
      "telephone_number": "248-535-2647"
    },
    {
      "address_1": "195 W 9 MILE RD STE 103",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FERNDALE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "482201749",
      "state": "MI",
      "telephone_number": "248-535-2647"
    }
  ],
  "taxonomies": [
    {
      "code": "103TC0700X",
      "desc": "Psychologist, Clinical",
      "license": "6301013774",
      "primary": true,
      "state": "MI",
      "taxonomy_group": "193200000X - Multi-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 Behavioral Health & Social Service Providers — Psychologist, Clinical",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "62",
        "medicare_type": "Psychologist, Clinical"
      },
      {
        "medicare_code": "68",
        "medicare_type": "Psychologist, Clinical"
      }
    ]
  }
}