Active NPI
Catherine Judkins, PHD
- Psychologist
- Chesterfield, MO
National Provider Identifier
1083660898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2002022105
- Practice address
- 14500 S Outer 40 Rd Ste 202
Chesterfield, MO 63017-5736 - Phone
- (314) 579-5040
- Fax
- (314) 579-5017
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2002022105 | MO | Primary |
Addresses
Primary practice location
14500 S Outer 40 Rd Ste 202
Chesterfield, MO 63017-5736
Mailing address
14500 S Outer 40 Rd Ste 202
Chesterfield, MO 63017-5736
Phone (314) 579-5040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495977803 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1083660898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14500 S OUTER 40 RD STE 202",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175736",
"telephone_number": "314-579-5040",
"fax_number": "314-579-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 S OUTER 40 RD STE 202",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175736",
"telephone_number": "314-579-5040",
"fax_number": "314-579-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDKINS",
"first_name": "CATHERINE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2002022105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495977803",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.