Judith Tutin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2075 Issued in GA

Practice address

519 Broad St
Suite 202
Rome, GA 30161-1734

Phone

(706) 232-5544

Fax

(888) 543-1173

NPI assigned

Dec 24, 2006

Last updated

Nov 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: judith.tutin.1@30520.direct.athenahealth.com

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.

• Psychogenesis, Inc.

  • Clinical Psychologist
  • Rome, GA
  • NPI 1083779763
  Medicare reassignment NPD Authorized official
• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  GA

  Medicare reassignment NPD
• Cardinal Innovative Medical Practice, P.C.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1609284975
  NPD (past)
• Doctor on Demand Professionals of Texas, P.a.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1851709133
  NPD (past)
• Innovative Medical Practice of Massachusetts, PC

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1134537400
  NPD (past)
• Innovative Medical Practice of North Carolina, PC

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1225446503
  NPD (past)

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1265597942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WINDSOR RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301658555",
            "telephone_number": "706-232-5544",
            "fax_number": "888-543-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BROAD ST",
            "address_2": "SUITE 202",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301611734",
            "telephone_number": "706-232-5544",
            "fax_number": "888-543-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTIN",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-24",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000728923A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GRP4896",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsee Tucker, LCSW
• Leslie A Tucker, DC
• Victor Jason Tucker, PA-C
• Wilson Larry Tucker, M.D.
• Sonia Elizabeth Turner, FNP-BC
• Kaleigh Marie Tutorow, M.ED., CCC-SLP
• Brian Tye, SPEECH THERAPIST
• Chesnee Tyler, NP
• Unihealth Solutions of Northwest Georgia, Inc. (UniHealth SOURCE - Rome)
• Unihealth Solutions, Inc. (UniHealth Solutions of Rome)

• Clinical Psychologist in Rome, GA
• Providers in Rome, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.