Michael Wilson Judd, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5341 Issued in NC

Practice address

11 Fuller LN
Asheville, NC 28805-9721

Phone

(419) 283-0576

NPI assigned

Jul 6, 2015

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1336522689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FULLER LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288059721",
            "telephone_number": "419-283-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FULLER LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288059721",
            "telephone_number": "419-283-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "MICHAEL",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Freyda Jourdan, LCSWA
• Katherine Diane Jowers, DDS
• Elijah Paul Joy
• Gina Marie Joy, PHARMD
• Roy Gregory Juckett, MD
• Sandra Judd, SRNA
• Kyle Matthew Judkins, DO
• Lissa Juedemann
• Julia M. Levine, LCSW, PLLC
• Steven Daniel Jurczak, PA

• Psychologist in Asheville, NC
• Providers in Asheville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.