Stephanie T. Judge, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

278654 Issued in KY

Practice address

2220 Young Dr
Lexington, KY 40505-4219

Phone

(859) 277-1008

Fax

(859) 277-1083

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Bluegrass Health Psychology Inc.Group PAC ID 2668579061, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ei-bhp

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bluegrass Health Psychology, Inc.

  • Clinical Psychologist
  • Lexington, KY
  • NPI 1619061470

  IN

  Medicare reassignment Care Compare group NPD
• Bluegrass Internal Medicine and Nephrology

  • Nephrology Physician
  • Lexington, KY
  • NPI 1609361724
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1013639616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TATES CREEK CTR DR",
            "address_2": "STE 150, PMB 123",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173066",
            "telephone_number": "859-277-1008",
            "fax_number": "859-277-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 YOUNG DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054219",
            "telephone_number": "859-277-1008",
            "fax_number": "859-277-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "STEPHANIE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "278654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Job Juarez, MSC
• Aleigha Judd
• William Russell Judd, PHARMD, BCPS
• Kelsey Jude, PA
• Joshua M Judge, MD
• Jennifer D Judy, LPCC
• Paige Kelly Juettner, PA-C
• Marchelle Juliao
• Julie Ann Martin Chiropractic and Rehabilitation, Inc.
• Julie Joy Tincher, LCSW, Inc.

• Clinical Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.