{
  "npi": "1396864757",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "Psy.D.",
    "enumeration_date": "2007-03-28",
    "first_name": "ANDREA",
    "last_name": "BRANDON MENEFEE",
    "last_updated": "2018-03-17",
    "middle_name": "L",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "270 EAST 90TH DRIVE",
      "address_2": "OFFICE NUMBER 223",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MERRILLVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "219-226-1324",
      "postal_code": "464108102",
      "state": "IN",
      "telephone_number": "219-779-7339"
    },
    {
      "address_1": "270 E 90TH DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MERRILLVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "219-979-5149",
      "postal_code": "464108102",
      "state": "IN",
      "telephone_number": "219-779-7339"
    }
  ],
  "taxonomies": [
    {
      "code": "103TC0700X",
      "desc": "Psychologist, Clinical",
      "license": "20042619A",
      "primary": false,
      "state": "IN",
      "taxonomy_group": ""
    },
    {
      "code": "103TC2200X",
      "desc": "Psychologist, Clinical Child & Adolescent",
      "license": "20042619A",
      "primary": true,
      "state": "IN",
      "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": "Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "62",
        "medicare_type": "Psychologist, Clinical"
      }
    ]
  }
}