{
  "npi": "1689755530",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DO",
    "authorized_official_first_name": "DAVID",
    "authorized_official_last_name": "JONES",
    "authorized_official_middle_name": "P",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2079858998",
    "authorized_official_title_or_position": "sole proprietor",
    "enumeration_date": "2006-10-18",
    "last_updated": "2010-04-13",
    "organization_name": "BROADLEAF BEHAVIORAL HEALTH PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 810",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WESTBROOK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "207-839-3190",
      "postal_code": "040980810",
      "state": "ME",
      "telephone_number": "800-595-0033"
    },
    {
      "address_1": "9 OLD SAWMILL LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ARUNDEL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "207-985-1281",
      "postal_code": "040468164",
      "state": "ME",
      "telephone_number": "207-985-8998"
    }
  ],
  "taxonomies": [
    {
      "code": "2084A0401X",
      "desc": "Psychiatry & Neurology, Addiction Medicine",
      "license": "ME1558",
      "primary": true,
      "state": "ME",
      "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": "Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)",
    "certifying_board": "American Board of Psychiatry and Neurology (ABPN)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "79",
        "medicare_type": "Physician/Addiction Medicine"
      },
      {
        "medicare_code": "86",
        "medicare_type": "Physician/Neuropsychiatry"
      }
    ]
  }
}