Nicole Marie-Budry Law, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016030 Issued in MI

Practice address

2490 Walton Blvd Ste 201
Rochester Hills, MI 48309-1413

Phone

(248) 218-0622

Fax

(248) 218-0612

NPI assigned

Aug 24, 2014

Sex

Female

Sole proprietor

Yes

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 MI

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 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aloe Integrative Psychology Group PLLCGroup PAC ID 4880926658, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aloe Integrative Psychology Group, PLLC

  dba Aloe Integrative Psychology Group

  • Clinical Psychologist
  • Rochester Hills, MI
  • NPI 1548720469
  Medicare reassignment Care Compare group NPD Authorized official
• Wentworth and Associates PC

  • Psychologist
  • Utica, MI
  • NPI 1306827191
  Medicare reassignment NPD

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

{
    "created_epoch": "1408838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1043610314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091413",
            "telephone_number": "248-218-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD STE 201",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091413",
            "telephone_number": "248-218-0622",
            "fax_number": "248-218-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "NICOLE",
        "middle_name": "MARIE-BUDRY",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-24",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latha Srikrishna, MD, PC (Stoney Creek Physicians)
• Laurence Optical Co., Inc. (DOC Meadowbrook at Springhill)
• Laurence Optical Co.,Inc. (Pearle Vision DOC)
• Jennifer Rene Lauricella, MA, LPC, NCC
• Lavender Counseling Center LLC
• Lima Lawrence, M.D.
• Corina Lazar, M.D.
• Rachel Kingstrom Leackfeldt
• Bennett H. Lee, PA-C
• Bok Hee Lee, RPH

• Clinical Psychologist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.