Judith Davidson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001649 Issued in CT

Practice address

10 Lower CMNS
Woodbury, CT 06798-3219

Phone

(203) 800-8614

NPI assigned

May 25, 2006

Last updated

Nov 1, 2024By the provider in NPPES

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 CT

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, 1989

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• JD Psychological Services, PC

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  • NPI 1932573599
  Authorized official Same address or phone
• CPS, LLC (Consultant Psychiatric Services)

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  NPD (past)
• CT Resource Group LLC

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  NPD (past)
• Shoreline Psychiatry of Western Connecticut, LLC

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  • NPI 1134251564
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1154377984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOWER CMNS",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983219",
            "telephone_number": "203-800-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LOWER CMNS",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983219",
            "telephone_number": "203-800-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JUDITH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compass Behavioral Health LLC
• Phillip Corbi, M.S. BCBA
• Cornerstone Physical Therapy, LLC
• Ellen Cozan Tinios
• Eva Davidson
• Raymond Michael Demers Jr., LMSW
• Suzanne Derosa, LPC
• Gina L Donato, RPT
• Matthew Donovan
• Rachel Beth Dorfman, L.AC

• Psychologist in Woodbury, CT
• Providers in Woodbury, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.