Active NPI
Bill Eli Budd, PH.D
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1659597748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY000794
- Practice address
- 1817 Wildwood PL NE
Suite 2
Atlanta, GA 30324-4958 - Phone
- (404) 873-5517
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PSY000794 | GA | Primary |
Addresses
Primary practice location
1817 Wildwood PL NE
Suite 2
Atlanta, GA 30324-4958
Mailing address
1817 Wildwood PL NE
Suite 2
Atlanta, GA 30324-4958
Phone (404) 873-5517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY000794 | GA | MD | Clinical Psychologist |
| 794 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1659597748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 WILDWOOD PL NE",
"address_2": "SUITE 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244958",
"telephone_number": "404-873-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 WILDWOOD PL NE",
"address_2": "SUITE 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244958",
"telephone_number": "404-873-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDD",
"first_name": "BILL",
"middle_name": "ELI",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY000794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.