NPIMap

Organization Active NPI

Judd Psychological Services Inc

  • Community/Behavioral Health Agency
  • Valencia, CA
National Provider Identifier
1225465271
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY24819 Issued in CA
Legal business name
JUDD PSYCHOLOGICAL SERVICES INC
Practice address
23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348
Phone
(661) 437-3287
Fax
(661) 244-3513
NPI assigned
Oct 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Dr. David B. Judd, PSY.D.NPI 1336305861
Title
President
Phone
(661) 312-2875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY24819 CA Primary

Addresses

Primary practice location

23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348

Mailing address

23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348
Phone (661) 437-3287

Other names 1

  • Early Life Child Psychology and Education Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201217000743 CA Part B Supplier - Clinic/Group Practice 2163834029 Receives reassigned benefits from 4 practitioners
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

27441 Tourney Rd
Ste 260
Valencia, CA 91355
Phone (661) 287-1676

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1225465271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23822 VALENCIA BLVD STE 207",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555348",
            "telephone_number": "661-437-3287",
            "fax_number": "661-244-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23822 VALENCIA BLVD STE 207",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555348",
            "telephone_number": "661-437-3287",
            "fax_number": "661-244-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDD PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-312-2875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY24819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Life Child Psychology and Education Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Early Life Child Psychology and Education Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.