Brian William Judd, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PY00001522 Issued in WA

Practice address

501 Columbia St NW Ste a
Olympia, WA 98501-1062

Phone

(206) 914-6409

Fax

(360) 352-5357

NPI assigned

Jan 4, 2019

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1780157495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 COLUMBIA ST NW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011062",
            "telephone_number": "206-914-6409",
            "fax_number": "360-352-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 COLUMBIA ST NW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011062",
            "telephone_number": "206-914-6409",
            "fax_number": "360-352-5357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2118 Caton Way SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985021105",
            "country_code": "US",
            "telephone_number": "206-914-6409",
            "fax_number": "360-357-5352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "WA",
            "license": "PY00001522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan P. Jove, MPT
• Joy L Meek
• Joyce Luteyn, M.D. PLLC
• Brooklynne Anne Judah
• Liesl M. Bauer Judah, LICSW
• Nancy S Judge, ST
• Sharon A Judie, RN
• Judys Intimate Apparel Inc
• Julia Fox, LLC
• Katelyn Julian

• Forensic Psychologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Forensic Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.