Carol A. Budzenski, PH.D.
Individual provider Active NPI Clinical Psychologist · Stryker, OH
NPI 1013194786 · NPPES record last updated Jan 24, 2008
Key facts
- NPI
- 1013194786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3855 (OH)
- Practice address
- 427 N Defiance St
Stryker, OH 43557-9472 - Phone
- (419) 682-1011
- Fax
- (419) 682-6097
- NPI assigned
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3855 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Psychological Services LLC | Past | Accepting new patients | |
| Quadco Rehabilitation Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3855 | OH | |
| Clinical Psychologist | 103TC0700X | 3855 | OH | Yes |
Addresses
Primary practice location
427 N Defiance St
Stryker, OH 43557-9472
Mailing address
PO Box 197
Waterville, OH 43566-0197
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02989 | Other | PARAMOUNT HEALTHCARE | |
| 000000128817 | Other | OH | ANTHEM BC/BS |
| 0891085 | Medicaid | OH |
Other providers in Stryker, OH
- Deanna Appel
- Hannah Sloan Arnos
- Lavon M. Benner
- Tyler E Bishop
- Brianna Marie Burns
- Stacy Cadwell
- Morgan L Dougal
- Cassondra Lee Hardy
- Katie Jean Irwin
All providers in Stryker, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.