Individual provider Active NPI

Lindsey Kristine Luedtke, PSYD

  • Clinical Psychologist
  • Spotsylvania, VA
National Provider Identifier
1740577410
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004416 Issued in VA
Practice address
7427 Brock Road
Spotsylvania, VA 22553-1764
Phone
(540) 582-3980
Fax
(540) 582-6825
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004416 VA Primary

Addresses

Primary practice location

7427 Brock Road
Spotsylvania, VA 22553-1764

Mailing address

7424 Brock Rd
PO Box 277
Spotsylvania, VA 22553-2002
Phone (540) 582-3980

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1740577410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 BROCK RD",
            "address_2": "PO BOX 277",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225532002",
            "telephone_number": "540-582-3980",
            "fax_number": "540-582-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7427 BROCK ROAD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531764",
            "telephone_number": "540-582-3980",
            "fax_number": "540-582-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDTKE",
        "first_name": "LINDSEY",
        "middle_name": "KRISTINE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spotsylvania, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.