Individual provider Active NPI

Linda Ludden, ED.D

  • Psychologist
  • Rockwall, TX
National Provider Identifier
1386756344
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2-2230 Issued in TX
Practice address
935 W Ralph Hall Pkwy
Suite 105
Rockwall, TX 75032-8701
Phone
(972) 772-8484
Fax
(469) 698-8569
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2-2230 TX Primary

Addresses

Primary practice location

935 W Ralph Hall Pkwy
Suite 105
Rockwall, TX 75032-8701

Mailing address

935 W Ralph Hall Pkwy
Suite 105
Rockwall, TX 75032-8701
Phone (972) 772-8484

Other identifiers 1

IdentifierTypeStateIssuer
033465801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070717000349 TX Practitioner - Clinical Psychologist 2567562705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ludden Group PCGroup PAC ID 6507000726, 5 clinicians

Practice addresses (Care Compare)

935 W Ralph Hall Pkwy
Suite 105
Rockwall, TX 75032-8707
Phone (972) 772-8484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2-2230TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Ludden Group, P.C. CurrentSince May 1, 2003 Accepting new patients
Lattie Psychological Associates PLLC Past Accepting new patients

Locations

935 W Ralph Hall Pkwy
Ste 105
Rockwall, TX 75032
Phone (972) 742-7679

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1386756344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 W RALPH HALL PKWY",
            "address_2": "SUITE 105",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750328701",
            "telephone_number": "972-772-8484",
            "fax_number": "469-698-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 W RALPH HALL PKWY",
            "address_2": "SUITE 105",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750328701",
            "telephone_number": "972-772-8484",
            "fax_number": "469-698-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDDEN",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-2230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033465801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.