{
  "npi": "1649326356",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PH D",
    "authorized_official_first_name": "RICHARD",
    "authorized_official_last_name": "PODOLIN",
    "authorized_official_middle_name": "MICHAEL",
    "authorized_official_telephone_number": "4107571005",
    "authorized_official_title_or_position": "Psychologist",
    "certification_date": "2026-02-11",
    "enumeration_date": "2007-01-26",
    "last_updated": "2026-02-11",
    "organization_name": "BEHAVIORAL MEDICINE CENTER OF ANNAPOLIS, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "781 ANDERSON MILL RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "AIKEN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-757-3788",
      "postal_code": "298031838",
      "state": "SC",
      "telephone_number": "410-757-1005"
    },
    {
      "address_1": "1290 BAY DALE DR",
      "address_2": "PMB 150",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ARNOLD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-757-3788",
      "postal_code": "210122325",
      "state": "MD",
      "telephone_number": "410-757-1005"
    }
  ],
  "taxonomies": [
    {
      "code": "103T00000X",
      "desc": "Psychologist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - 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",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "62",
        "medicare_type": "Psychologist, Clinical"
      }
    ]
  }
}