NPIMap

Organization Active NPI

Judson Center, Inc.

  • Behavior Analyst
  • Royal Oak, MI
National Provider Identifier
1235569013
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JUDSON CENTER, INC.
Practice address
4410 W 13 Mile Rd
Royal Oak, MI 48073-6515
Phone
(248) 549-4339
Fax
(248) 549-8955
NPI assigned
Nov 15, 2013
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
JUDSON CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Chondella Renee Lindsley
Title
Certified Medical Biller and Coder
Phone
(248) 554-6362

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

4410 W 13 Mile Rd
Royal Oak, MI 48073-6515

Mailing address

4410 W 13 Mile Rd
Royal Oak, MI 48073-6515
Phone (248) 549-4339

Other names 1

  • AUTISM CONNECTION Other name

National Provider Directory

National Provider Directory
Tax ID family
Judson Center Inc5 organizations share this tax ID, including this one
Part of
Judson Center Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3917 Research Park Dr
Ste B1A
Ann Arbor, MI 48108
Phone (734) 794-2930

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1235569013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736515",
            "telephone_number": "248-549-4339",
            "fax_number": "248-549-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736515",
            "telephone_number": "248-549-4339",
            "fax_number": "248-549-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDSON CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUDSON CENTER, INC.",
        "enumeration_date": "2013-11-15",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "LINDSLEY",
        "authorized_official_first_name": "CHONDELLA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CERTIFIED MEDICAL BILLER AND CODER",
        "authorized_official_telephone_number": "248-554-6362"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUTISM CONNECTION",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AUTISM CONNECTION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.