{
  "npi": "1811945132",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "STACEY",
    "authorized_official_last_name": "MEILY",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2097546516",
    "authorized_official_title_or_position": "Administrative Assistant",
    "certification_date": "2026-09-25",
    "enumeration_date": "2006-05-05",
    "last_updated": "2026-09-25",
    "organization_name": "COUNTY OF CALAVERAS",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "891 MOUNTAIN RANCH RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SAN ANDREAS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "209-754-6597",
      "postal_code": "952499713",
      "state": "CA",
      "telephone_number": "209-754-6525"
    },
    {
      "address_1": "704 MOUNTAIN RANCH RD STE 103-105",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SAN ANDREAS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "209-754-6597",
      "postal_code": "952498902",
      "state": "CA",
      "telephone_number": "209-754-6525"
    }
  ],
  "taxonomies": [
    {
      "code": "171M00000X",
      "desc": "Case Manager/Care Coordinator",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "251S00000X",
      "desc": "Community/Behavioral Health",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251X00000X",
      "desc": "Supports Brokerage",
      "license": null,
      "primary": false,
      "state": null,
      "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 Community/Behavioral Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}