{
  "npi": "1992880736",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RAYMOND",
    "authorized_official_last_name": "MCCARTHY",
    "authorized_official_telephone_number": "4137943290",
    "authorized_official_title_or_position": "Sr. VP, CFO & Treasurer BH",
    "certification_date": "2020-10-14",
    "enumeration_date": "2006-10-26",
    "last_updated": "2023-11-27",
    "organization_name": "BAYSTATE WING HOSPITAL CORPORATION",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "40 WRIGHT ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PALMER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "413-370-5398",
      "postal_code": "010691138",
      "state": "MA",
      "telephone_number": "413-370-5285"
    },
    {
      "address_1": "40 WRIGHT ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PALMER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "413-284-5117",
      "postal_code": "010691138",
      "state": "MA",
      "telephone_number": "413-283-7651"
    }
  ],
  "taxonomies": [
    {
      "code": "273R00000X",
      "desc": "Psychiatric Unit",
      "license": "2181",
      "primary": true,
      "state": "MA",
      "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 Hospital Units — Psychiatric Unit",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A0[7]",
        "medicare_type": "Hospital-Psychiatric Unit"
      }
    ]
  }
}