Active NPI
Judey M Budenz, PHD, HSPP
- Clinical Psychologist
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042944A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20042944A | Other | IN | LICENSE |
| 201368320 | Medicaid | IN | |
| 1007340 | Other | IN | LICENSE |
Other names 1
- Dr. Judey M Budenz-Anders
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20042944A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mending Minds, LLC | Current | Accepting new patients | |
| The Oasis Counseling Center LLC | Current | 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
- https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
- 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.
-
- Behavior Analyst
- Kokomo, IN
- NPI 1871088369
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.