Individual provider Active NPI

Judey M Budenz, PHD, HSPP

  • Clinical Psychologist
  • Kokomo, IN
National Provider Identifier
1265869804
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042944A Issued in IN
Practice address
417 Arnold CT
Kokomo, IN 46902-3702
Phone
(765) 450-4843
Fax
(745) 048-9565
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042944A IN Primary

Addresses

Primary practice location

417 Arnold CT
Kokomo, IN 46902-3702

Mailing address

417 Arnold CT
Kokomo, IN 46902-3702
Phone (765) 450-4843

Other practice location 1

3821 Red Bud Ln
Kokomo, IN 46902-4382
Phone (765) 419-3128

Other identifiers 3

IdentifierTypeStateIssuer
20042944AOtherINLICENSE
201368320MedicaidIN
1007340OtherINLICENSE

Other names 1

  • Dr. Judey M Budenz-Anders Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160630001717 IN Practitioner - Clinical Psychologist 9234421819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mending Minds, LLCGroup PAC ID 4284037987, 15 clinicians

Practice addresses (Care Compare)

1311 W 96TH St
Suite 110
Indianapolis, IN 46260-1172
Phone (317) 876-3699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20042944AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Minds, LLC CurrentSince Jan 30, 2025 Accepting new patients
The Oasis Counseling Center LLC CurrentSince Jun 21, 2016 Accepting new patients
Hope Behavioral Servies, LLC Past Accepting new patients

Locations

1311 W 96th St
Ste 110
Indianapolis, IN 46260
Phone (317) 296-7707

3900 Southland Ave
Kokomo, IN 46902
Phone (317) 876-3699

1531 Rockford Ct
Kokomo, IN 46902
Phone (765) 453-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
  • Direct secure messaging: judey.budenz.1@24167.direct.athenahealth.com

Organizations & group practices 3

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1265869804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ARNOLD CT",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023702",
            "telephone_number": "765-450-4843",
            "fax_number": "765-450-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ARNOLD CT",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023702",
            "telephone_number": "765-450-4843",
            "fax_number": "745-048-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3821 Red Bud Ln",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469024382",
            "country_code": "US",
            "telephone_number": "765-419-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDENZ",
        "first_name": "JUDEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2023-07-19",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20042944A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201368320",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1007340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDEY",
            "last_name": "BUDENZ-ANDERS",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PHD, HSPP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.