Organization Active NPI

S Jean Budding Inc

  • Adult Psychiatric/Mental Health Registered Nurse
  • Dayton, OH
National Provider Identifier
1780823237
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
138383 Issued in OH
Legal business name
S JEAN BUDDING INC
Practice address
7901 Schatz Pointe Dr
Suite a
Dayton, OH 45459-3856
Phone
(937) 438-9841
Fax
(937) 438-9851
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Shirley Jean Budding, CNS, BCNPI 1982650750
Title
Owner
Phone
(937) 438-9841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0809X 138383 OH Primary

Addresses

Primary practice location

7901 Schatz Pointe Dr
Suite a
Dayton, OH 45459-3856

Mailing address

7901 Schatz Pointe Dr
Suite a
Dayton, OH 45459-3856
Phone (937) 438-9841

Other identifiers 1

IdentifierTypeStateIssuer
2937013MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090216000512 OH Part B Supplier - Clinic/Group Practice 0345305884 Receives reassigned benefits from 1 practitioner
Practice locations: Centerville, OH

National Provider Directory

National Provider Directory

Locations

361 Regency Ridge Dr
Dayton, OH 45459
Phone (937) 438-9841

7036 Corporate Way
Dayton, OH 45459
Phone (937) 436-9504

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1780823237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SCHATZ POINTE DR",
            "address_2": "SUITE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593856",
            "telephone_number": "937-438-9841",
            "fax_number": "937-438-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SCHATZ POINTE DR",
            "address_2": "SUITE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593856",
            "telephone_number": "937-438-9841",
            "fax_number": "937-438-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S JEAN BUDDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "BUDDING",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-438-9841",
        "authorized_official_credential": "CNS, BC"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "138383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2937013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.