NPIMap

Individual provider Active NPI

Judd Scott Christian, PSY.D.

  • Psychologist
  • Miami, FL
National Provider Identifier
1871703942
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6995 Issued in FL
Practice address
1695 NW 9TH Ave
Suite 2416D
Miami, FL 33136-1409
Phone
(305) 355-8376
NPI assigned
May 23, 2007
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6995 FL Primary
Clinical Psychologist 103TC0700X PY6995 FL

Addresses

Primary practice location

1695 NW 9TH Ave
Suite 2416D
Miami, FL 33136-1409

Mailing address

1695 NW 9TH Ave
Suite 2416D
Miami, FL 33136-1409
Phone (305) 355-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000310 FL Practitioner - Clinical Psychologist 9638218753 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY6995FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 18, 2018 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jun 29, 2015 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 18, 2018 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 18, 2018 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jun 29, 2015 Accepting new patients
Quality Rehab Care LLC Past Accepting new patients
A Therapy Inc PastSince Apr 28, 2020 Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

1695 NW 9th Ave
Ste 2416D
Miami, FL 33136
Phone (305) 355-8376

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

Organizations & group practices 9

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1871703942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE",
            "address_2": "SUITE 2416D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE",
            "address_2": "SUITE 2416D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "JUDD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6995",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.