Individual provider Active NPI

Catherine Judkins, M.ED., BCBA

  • Behavior Analyst
  • Severna Park, MD
National Provider Identifier
1831231513
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
507 Issued in MD
Practice address
565 Benfield Rd Ste 300
Severna Park, MD 21146-2517
Phone
(844) 854-1116
Fax
(305) 846-9711
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X 507 MD Primary

Addresses

Primary practice location

565 Benfield Rd Ste 300
Severna Park, MD 21146-2517

Mailing address

1550 S Douglas Rd Ste 230
Coral Gables, FL 33134-4094
Phone (544) 854-1116

Other practice location 1

8402 Adler Ct
Millersville, MD 21108
Phone (206) 890-7526

Other practice location 2

37 Bufton Farm Rd
Clinton, MA 01510-3100
Phone (206) 890-7526

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
Master of Education

State licenses

LicenseStateTypeSpecialty
507MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Health, LLC. Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1831231513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344094",
            "telephone_number": "544-854-1116",
            "fax_number": "305-846-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BENFIELD RD STE 300",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462517",
            "telephone_number": "844-854-1116",
            "fax_number": "305-846-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8402 Adler Ct",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "21108",
            "country_code": "US",
            "telephone_number": "206-890-7526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Bufton Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MA",
            "postal_code": "015103100",
            "country_code": "US",
            "telephone_number": "206-890-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "CATHERINE",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.