Regina M. Budesa, PSYD, Limited Liability Company

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100428900 Issued in NJ

Legal business name

REGINA M. BUDESA, PSYD, LIMITED LIABILITY COMPANY

Practice address

280 Bloomfield Ave
Verona, NJ 07044-2426

Phone

(973) 897-7774

NPI assigned

Jul 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Regina M. Budesa, PSY.D.NPI 1336271717

Title

Owner

Phone

(973) 897-7774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina M. Budesa, PSYD

  • Psychologist
  • Verona, NJ
  • NPI 1336271717
  Medicare reassignment NPD Authorized official
• Francesca Ann Peckman, PSYD

  • Clinical Psychologist
  • Verona, NJ
  • NPI 1578774212
  NPD (past)

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

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1215345814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442426",
            "telephone_number": "973-897-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442426",
            "telephone_number": "973-897-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA M. BUDESA, PSYD, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-27",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BUDESA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-897-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100428900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Joy Ramos, PA-C
• Honor Elizabeth Randall, LCSW
• Brooke A Raskin, BCBA
• Roberta Conrad Ratte, LCSW
• Jamie Reed
• Res-Care New Jersey, Inc.
• Resurgence Physical Therapy LLC
• Louis D. Richmond, PHD
• Lauren G Rispoli, MD
• Reina Rivas, LCADC AND LCSW

• Clinical Psychologist in Verona, NJ
• Providers in Verona, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.