Individual provider Active NPI

Judith Lawrence Outten, M.D.

  • Child & Adolescent Psychiatry Physician
  • Southampton, PA
National Provider Identifier
1174546592
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD444036 Issued in PA
Practice address
928 Jaymor Rd Ste B-150
Southampton, PA 18966-3853
Phone
(215) 947-8654
NPI assigned
Jul 26, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD210002656 DC
Child & Adolescent Psychiatry Physician 2084P0804X MD444036 PA Primary

Addresses

Primary practice location

928 Jaymor Rd Ste B-150
Southampton, PA 18966-3853

Mailing address

719 Washington LN
Rydal, PA 19046-2947
Phone (602) 319-8017

Other practice location 1

2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024
Phone (202) 547-8450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121029000220 PA Practitioner - Psychiatry 2466427786 Reassigns benefits to 1 organization
I20221012003567 DC Practitioner - Psychiatry 2466427786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210002656DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Apr 9, 2018 Accepting new patients
Mbi Health Services LLC CurrentSince Aug 29, 2022 Accepting new patients
Growth Opportunity Center CurrentSince Dec 3, 2023 Accepting new patients
Abington Memorial Hospital PastSince Jan 1, 2016 Accepting new patients

Locations

4017 Minnesota Ave NE
Washington, DC 20019
Phone (202) 388-9202

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

1120 Welsh Rd
Ste 120
North Wales, PA 19454
Phone (908) 872-2476

928 Jaymor Rd
Ste B150
Southampton, PA 18966
Phone (215) 947-8654

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1174546592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 WASHINGTON LN",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190462947",
            "telephone_number": "602-319-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD STE B-150",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663853",
            "telephone_number": "215-947-8654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Martin Luther King Jr Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200207024",
            "country_code": "US",
            "telephone_number": "202-547-8450",
            "fax_number": "202-388-4339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUTTEN",
        "first_name": "JUDITH",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD210002656",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD444036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.