{
  "npi": "1659506269",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-07-24",
    "credential": "Psy.D., ABPP",
    "enumeration_date": "2009-05-27",
    "first_name": "BRIAN",
    "last_name": "ABLITZ",
    "last_updated": "2024-07-24",
    "middle_name": "W",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
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    {
      "address_1": "1100 BLYTHE BLVD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHARLOTTE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "704-355-7327",
      "postal_code": "282035814",
      "state": "NC",
      "telephone_number": "704-355-7328"
    },
    {
      "address_1": "487 LAKE CONCORD RD NE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CONCORD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "280252934",
      "state": "NC",
      "telephone_number": "704-403-1705"
    }
  ],
  "taxonomies": [
    {
      "code": "103G00000X",
      "desc": "Clinical Neuropsychologist",
      "license": "PS1323",
      "primary": false,
      "state": "ME",
      "taxonomy_group": ""
    },
    {
      "code": "103G00000X",
      "desc": "Clinical Neuropsychologist",
      "license": "5041",
      "primary": true,
      "state": "NC",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
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      "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 Clinical Neuropsychologist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}