{
  "npi": "1235272725",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "Psy.D.",
    "authorized_official_first_name": "JOSIE",
    "authorized_official_last_name": "HINSON",
    "authorized_official_middle_name": "VEGA",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2033132635",
    "authorized_official_title_or_position": "Owner & Clinical Psychologist",
    "enumeration_date": "2007-02-14",
    "last_updated": "2008-07-31",
    "organization_name": "A BETTER LIFE COUNSELING & PSYCHOLOGICAL SERVICES, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "500 MONROE TPKE STE B",
      "address_2": "SUITE 171",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MONROE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "203-268-7760",
      "postal_code": "064682387",
      "state": "CT",
      "telephone_number": "203-313-2635"
    },
    {
      "address_1": "8 WAKEMAN RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FAIRFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "203-268-7760",
      "postal_code": "068245120",
      "state": "CT",
      "telephone_number": "203-313-2635"
    }
  ],
  "taxonomies": [
    {
      "code": "103TC0700X",
      "desc": "Psychologist, Clinical",
      "license": "002639",
      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "103TC2200X",
      "desc": "Psychologist, Clinical Child & Adolescent",
      "license": "002639",
      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "106H00000X",
      "desc": "Marriage & Family Therapist",
      "license": "002639",
      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "103TP2701X",
      "desc": "Psychologist, Group Psychotherapy",
      "license": "002639",
      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "103TB0200X",
      "desc": "Psychologist, Cognitive & Behavioral",
      "license": "002639",
      "primary": true,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple 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 Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "62",
        "medicare_type": "Psychologist, Clinical"
      }
    ]
  }
}