Active NPI
Sylvia Budd Johnson, M.D.
- Child & Adolescent Psychiatry Physician
- Orlando, FL
National Provider Identifier
1891097663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME133985
- Practice address
- 10437 Moss Park Rd Ste B
Orlando, FL 32832-5812 - Phone
- (407) 808-5773
- NPI assigned
- Nov 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD 15718 | HI | |
| General Practice Physician | 208D00000X | MD15718 | HI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME133985 | FL | Primary |
Addresses
Primary practice location
10437 Moss Park Rd Ste B
Orlando, FL 32832-5812
Mailing address
10437 Moss Park Rd Ste B
Orlando, FL 32832-5812
Phone (407) 808-5773
Other practice location 1
36000 Darnall Loop
Fort Hood, TX 76544-5095
Phone (254) 288-2368
Other names 1
- Dr. Sylvia Leniece Budd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 1, 2017 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME133985 | FL | MD | Child & Adolescent Psychiatry Physician |
| MD 15718 | HI | MD | Child & Adolescent Psychiatry Physician |
| MD15718 | HI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nona TMS LLC | Multi-Specialty | Current | Accepting new patients |
| Lake Nona Behavioral Health Services | Multi-Specialty | Current | Accepting new patients |
Locations
10437 Moss Park Rd
Ste B
Orlando, FL 32832
Phone (407) 207-8005
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Orlando, FL
- NPI 1578108668
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1891097663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10437 MOSS PARK RD STE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328325812",
"telephone_number": "407-808-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10437 MOSS PARK RD STE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328325812",
"telephone_number": "407-808-5773"
}
],
"practiceLocations": [
{
"address_1": "36000 Darnall Loop",
"address_purpose": "LOCATION",
"city": "Fort Hood",
"state": "TX",
"postal_code": "765445095",
"country_code": "US",
"telephone_number": "254-288-2368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SYLVIA",
"middle_name": "BUDD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-29",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "HI",
"license": "MD 15718",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "MD15718",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME133985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SYLVIA",
"last_name": "BUDD",
"middle_name": "LENIECE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.