Individual provider Active NPI

Judith Ann Tindall, PH.D.

  • Psychologist
  • Saint Charles, MO
National Provider Identifier
1326017781
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY R0181 Issued in MO
Practice address
58 Portwest CT
Saint Charles, MO 63303-5985
Phone
(636) 916-5800
Fax
(636) 916-0146
NPI assigned
Mar 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY R0181 MO Primary

Addresses

Primary practice location

58 Portwest CT
Saint Charles, MO 63303-5985

Mailing address

58 Portwest CT
Saint Charles, MO 63303-5985
Phone (636) 916-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100817000874 MO Practitioner - Clinical Psychologist 6608900394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Network IncGroup PAC ID 9739133653, 2 clinicians

Practice addresses (Care Compare)

58 Portwest CT
Saint Charles, MO 63303-5985
Phone (636) 916-5800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY R0181MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Network, Inc. Psychologist CurrentSince Jan 1, 1998 Accepting new patients
David a. Lipsitz, PH.D., Inc PastSince Nov 1, 2010 Accepting new patients

Locations

58 Portwest Ct
Saint Charles, MO 63303
Phone (636) 916-5800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326017781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PORTWEST CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035985",
            "telephone_number": "636-916-5800",
            "fax_number": "636-916-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PORTWEST CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035985",
            "telephone_number": "636-916-5800",
            "fax_number": "636-916-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY R0181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.