Alla Bottoni Budur, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016954 Issued in PA

Practice address

1275 Glenlivet Dr Ste 100
Allentown, PA 18106-3107

Phone

(610) 248-9648

NPI assigned

Jun 20, 2011

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1972898898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 PICCADILLY CIR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036463",
            "telephone_number": "610-248-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 GLENLIVET DR STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063107",
            "telephone_number": "610-248-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTONI BUDUR",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn A. Boscia, MD
• Michaela Marie Bosico, DPM
• Brandon Bossard, PA
• Matt Harrison Boswell, D.M.D
• Christie Botterbusch
• Sarah Bouffard, PA-C
• Nicolle Bougas
• Karen Boutron, CRNP
• Annalisa Bova, LCSW
• Blair Joan Bower, RD

• Clinical Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.