{
  "npi": "1952736738",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "EdD Psychology",
    "enumeration_date": "2013-09-11",
    "first_name": "VALENCIA",
    "last_name": "BAGBY-YOUNG",
    "last_updated": "2019-07-03",
    "middle_name": "L",
    "name_prefix": "Dr.",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "41 N MAIN ST STE 302",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WEST HARTFORD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "203-439-2087",
      "postal_code": "061071929",
      "state": "CT",
      "telephone_number": "860-236-7333"
    },
    {
      "address_1": "31 BURNWOOD DRIVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BLOOMFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "860-242-1811",
      "postal_code": "060022264",
      "state": "CT",
      "telephone_number": "860-604-6914"
    }
  ],
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      "code": "103T00000X",
      "desc": "Psychologist",
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    {
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      "license": "003280",
      "primary": false,
      "state": "CT",
      "taxonomy_group": ""
    },
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": "7986",
      "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 & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
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  }
}