Active NPI
Lunden Psychological Services, Inc.
- Psychologist
- Seminole, FL
National Provider Identifier
1912393349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY9206
- Legal business name
- LUNDEN PSYCHOLOGICAL SERVICES, INC.
- Practice address
- 9160 Oakhurst Rd
Suite 3B
Seminole, FL 33776-2157 - Phone
- (727) 240-1922
- Fax
- (727) 240-1928
- NPI assigned
- Apr 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Carol Lunden, PSY.D.
- Title
- President/Psychologist
- Phone
- (727) 240-1922
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY9206 | FL | Primary |
Addresses
Primary practice location
9160 Oakhurst Rd
Suite 3B
Seminole, FL 33776-2157
Mailing address
9160 Oakhurst Rd
Suite 3B
Seminole, FL 33776-2157
Phone (727) 240-1922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014703800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9160 Oakhurst Rd
Ste 3B
Seminole, FL 33776
Phone (727) 240-1922
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Seminole, FL
- NPI 1174913461
-
- Mental Health Counselor
- Seminole, FL
- NPI 1023525466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582156800000",
"number": "1912393349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9160 OAKHURST RD",
"address_2": "SUITE 3B",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337762157",
"telephone_number": "727-240-1922",
"fax_number": "727-240-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 OAKHURST RD",
"address_2": "SUITE 3B",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337762157",
"telephone_number": "727-240-1922",
"fax_number": "727-240-1928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNDEN PSYCHOLOGICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-13",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A",
"authorized_official_last_name": "LUNDEN",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "CAROL",
"authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
"authorized_official_telephone_number": "727-240-1922",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY9206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014703800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.