{
  "npi": "1912313008",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "APRN",
    "authorized_official_first_name": "JUDY",
    "authorized_official_last_name": "SPLITTGERBER",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8605264212",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2014-07-09",
    "last_updated": "2016-04-19",
    "organization_name": "REFLECTIONS OF CHESTER, HEALTH & WELLNESS CENTER, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "19 N MAIN ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHESTER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "860-526-2203",
      "postal_code": "064121201",
      "state": "CT",
      "telephone_number": "860-526-4212"
    },
    {
      "address_1": "19 N MAIN ST",
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      "country_code": "US",
      "country_name": "United States",
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      "postal_code": "064121201",
      "state": "CT",
      "telephone_number": "860-526-4212"
    }
  ],
  "taxonomies": [
    {
      "code": "106H00000X",
      "desc": "Marriage & Family Therapist",
      "license": "001047",
      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "001047",
      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "101YM0800X",
      "desc": "Counselor, Mental Health",
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      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "1041C0700X",
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      "license": "001047",
      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "103T00000X",
      "desc": "Psychologist",
      "license": "001047",
      "primary": false,
      "state": "CT",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "261QM0801X",
      "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
      "license": "001047",
      "primary": true,
      "state": "CT",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Community Mental Health Center"
      }
    ]
  }
}