{
  "npi": "1689795924",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "Psy.D.",
    "enumeration_date": "2007-04-03",
    "first_name": "JAMES",
    "last_name": "EASTLICK",
    "last_updated": "2007-07-08",
    "middle_name": "H.",
    "name_prefix": "Dr.",
    "name_suffix": "Jr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "76 19TH ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HAVRE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-395-4313",
      "postal_code": "595015212",
      "state": "MT",
      "telephone_number": "406-265-3250"
    },
    {
      "address_1": "RR 1 BOX 664",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BOX ELDER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-395-4313",
      "postal_code": "595219797",
      "state": "MT",
      "telephone_number": "406-395-4486"
    }
  ],
  "taxonomies": [
    {
      "code": "103TC0700X",
      "desc": "Psychologist, Clinical",
      "license": "97-23P",
      "primary": true,
      "state": "AR",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "JAMES HOWARD JR EASTLICK",
          "npi": "1689795924",
          "specialty": "PSYCHOLOGY",
          "city": "COEUR D ALENE",
          "state": "ID",
          "excl_type": "1128a3",
          "excl_date": "2017-05-18",
          "statute_desc": "Sec. 1128(a)(3) — Felony Health Care Fraud Conviction"
        }
      ],
      "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"
      }
    ]
  }
}