{
  "npi": "1558027276",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "APRN",
    "authorized_official_first_name": "ANTHONY",
    "authorized_official_last_name": "TREZZA",
    "authorized_official_middle_name": "MICHAEL",
    "authorized_official_telephone_number": "2036662002",
    "authorized_official_title_or_position": "APRN",
    "certification_date": "2021-11-17",
    "enumeration_date": "2021-11-17",
    "last_updated": "2021-11-17",
    "organization_name": "ANTHONY TREZZA, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "35 OLD TAVERN RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ORANGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "203-202-3760",
      "postal_code": "064773450",
      "state": "CT",
      "telephone_number": "203-666-2002"
    },
    {
      "address_1": "3 ARMSTRONG RD # 1026",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SHELTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "203-202-3760",
      "postal_code": "064844706",
      "state": "CT",
      "telephone_number": "203-666-2002"
    }
  ],
  "taxonomies": [
    {
      "code": "261QM0850X",
      "desc": "Clinic/Center, Adult Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM0855X",
      "desc": "Clinic/Center, Adolescent and Children Mental Health",
      "license": null,
      "primary": true,
      "state": null,
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}