{
  "npi": "1649647561",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-08-16",
    "credential": "Psy.D.",
    "enumeration_date": "2015-08-26",
    "first_name": "JEDIDIAH",
    "last_name": "SAVARD",
    "last_updated": "2026-08-16",
    "middle_name": "SIMEON",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 1208",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RAYMOND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "601-779-1099",
      "postal_code": "391541208",
      "state": "MS",
      "telephone_number": "603-520-8107"
    },
    {
      "address_1": "1420 NW GILMAN BLVD",
      "address_2": "STE. 2 #9141",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ISSAQUAH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "98027",
      "state": "WA",
      "telephone_number": "425-243-3665"
    }
  ],
  "taxonomies": [
    {
      "code": "103TC0700X",
      "desc": "Psychologist, Clinical",
      "license": "661253",
      "primary": false,
      "state": "MS",
      "taxonomy_group": ""
    },
    {
      "code": "103TC0700X",
      "desc": "Psychologist, Clinical",
      "license": "PY60921845",
      "primary": true,
      "state": "WA",
      "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",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "62",
        "medicare_type": "Psychologist, Clinical"
      },
      {
        "medicare_code": "68",
        "medicare_type": "Psychologist, Clinical"
      }
    ]
  }
}