{
  "npi": "1356613210",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "TAMERA",
    "authorized_official_last_name": "BENEDICT",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5624985900",
    "authorized_official_title_or_position": "Chief Operating Officer",
    "enumeration_date": "2012-02-07",
    "last_updated": "2014-06-06",
    "organization_name": "ABBEYFIELD PSYCHOTHERAPY INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
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    {
      "address_1": "5479 E ABBEYFIELD ST",
      "address_2": "SUITE 3",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LONG BEACH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "562-498-5909",
      "postal_code": "908153050",
      "state": "CA",
      "telephone_number": "562-498-5900"
    },
    {
      "address_1": "5479 E ABBEYFIELD ST",
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      "city": "LONG BEACH",
      "country_code": "US",
      "country_name": "United States",
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      "telephone_number": "562-498-5900"
    }
  ],
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      "code": "1041C0700X",
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      "state": "CA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "106H00000X",
      "desc": "Marriage & Family Therapist",
      "license": "MFC43055",
      "primary": false,
      "state": "CA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "103TC0700X",
      "desc": "Psychologist, Clinical",
      "license": "PSY19703",
      "primary": false,
      "state": "CA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
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    },
    {
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      "state": "CA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "106H00000X",
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      "desc": "Social Worker, Clinical",
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      "primary": false,
      "state": "CA",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "103TC0700X",
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      "license": "LCS27670",
      "primary": true,
      "state": "CA",
      "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"
      },
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        "medicare_code": "68",
        "medicare_type": "Psychologist, Clinical"
      }
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}