Individual provider Active NPI

Sylvia Budd Johnson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1891097663
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME133985 Issued in FL
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

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD 15718 HI
General Practice Physician 208D00000X MD15718 HI
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
ME133985FLMDChild & Adolescent Psychiatry Physician
MD 15718HIMDChild & Adolescent Psychiatry Physician
MD15718HIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.