Active NPI
Judith Lynne Speed, PH.D.
- Psychologist
- Napa, CA
National Provider Identifier
1114933579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY13944
- Practice address
- 1303 Jefferson St.
Ste. 600a
Napa, CA 94559 - Phone
- (707) 224-6810
- Fax
- (707) 361-8886
- NPI assigned
- Jul 31, 2006
- Last updated
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY13944 | CA | Primary |
Addresses
Primary practice location
1303 Jefferson St.
Ste. 600a
Napa, CA 94559
Mailing address
P.O. Box 867
Napa, CA 94559
Phone (707) 224-6810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY13944 | CA | MD | Psychologist |
| 13944 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1114933579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 867",
"city": "NAPA",
"state": "CA",
"postal_code": "94559",
"telephone_number": "707-224-6810",
"fax_number": "707-361-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 JEFFERSON ST.",
"address_2": "STE. 600A",
"city": "NAPA",
"state": "CA",
"postal_code": "94559",
"telephone_number": "707-224-6810",
"fax_number": "707-361-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEED",
"first_name": "JUDITH",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY13944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.