Individual provider Active NPI

Judy Carol Lunden, PSY.D.

  • Psychologist
  • Seminole, FL
National Provider Identifier
1174913461
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 9206 Issued in FL
Practice address
9160 Oakhurst Rd
Suite 3B
Seminole, FL 33776-2157
Phone
(727) 240-1922
Fax
(727) 240-1928
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 9206 FL Primary

Addresses

Primary practice location

9160 Oakhurst Rd
Suite 3B
Seminole, FL 33776-2157

Mailing address

9160 Oakhurst Rd
Suite 3B
Seminole, FL 33776-2157
Phone (727) 240-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20151016000025 FL Practitioner - Clinical Psychologist 6305155243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9160 Oakhurst Rd
Seminole, FL 33776-2157
Phone (727) 240-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 9206FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lunden Psychological Services, Inc. Psychologist CurrentSince Mar 1, 2015 Accepting new patients

Locations

9160 Oakhurst Rd
Ste 3B
Seminole, FL 33776
Phone (727) 240-1922

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1174913461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 OAKHURST RD",
            "address_2": "SUITE 3B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337762157",
            "telephone_number": "727-240-1922",
            "fax_number": "727-240-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 OAKHURST RD",
            "address_2": "SUITE 3B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337762157",
            "telephone_number": "727-240-1922",
            "fax_number": "727-240-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEN",
        "first_name": "JUDY",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 9206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.