Judy Lee Rambur, PSYD RPT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31917 Issued in TX

Practice address

2237 Ridge Rd
Ste 101
Rockwall, TX 75087

Phone

(972) 771-3969

NPI assigned

Jul 1, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blank Slate TherapyGroup PAC ID 5193069219, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blank Slate Therapy

  • Professional Counselor
  • Frisco, TX
  • NPI 1639539364
  Medicare reassignment Care Compare group NPD
• Robert F Mehl III PHD & Assoc LLC

  dba The Lakewood Group

  • Multi-Specialty Clinic/Center
  • Rockwall, TX
  • NPI 1912999715
  Medicare reassignment NPD

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1871522094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 RIDGE RD",
            "address_2": "STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75087",
            "telephone_number": "972-771-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 RIDGE RD",
            "address_2": "STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75087",
            "telephone_number": "972-771-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBUR",
        "first_name": "JUDY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSYD  RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "31917",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiant Heart Home Care LLC
• Pamela Ann Ragsdill, PT
• Rebekah Jean Raiford, LCSW
• Mashaer Sunbul Rajan
• Christina M. Rakow
• Tejal Rana, PHARMD
• Randalls Food & Drugs LP (Tom Thumb Pharmacy #2964)
• Karen Daniela Rangel
• Kimberly Rankin
• Mark Edward Ranschaert, DMD

• Clinical Psychologist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.