{
  "npi": "1881138410",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-12-22",
    "credential": "PhD, ABPP, MSCP",
    "enumeration_date": "2016-12-16",
    "first_name": "TIMOTHY",
    "last_name": "PAGANO",
    "last_updated": "2025-12-22",
    "middle_name": "PATRICK",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
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    {
      "address_1": "412 MDG",
      "address_2": "30 NIGHTINGALE RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EDWARDS AFB",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "93523",
      "state": "CA",
      "telephone_number": "661-277-2397"
    },
    {
      "address_1": "412 MDG",
      "address_2": "31 NIGHTINGALE RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "EDWARDS AFB",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "93523",
      "state": "CA",
      "telephone_number": "661-277-5291"
    }
  ],
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    {
      "code": "103TB0200X",
      "desc": "Psychologist, Cognitive & Behavioral",
      "license": "5971567",
      "primary": false,
      "state": "ID",
      "taxonomy_group": ""
    },
    {
      "code": "103TP0016X",
      "desc": "Psychologist, Prescribing (Medical)",
      "license": "5971567",
      "primary": true,
      "state": "ID",
      "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, Prescribing (Medical)",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "62",
        "medicare_type": "Psychologist, Clinical"
      }
    ]
  }
}