Individual
DR. JUDY LEE ANTONELLO
Active
Individual
DR. JUDY LEE ANTONELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0444
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100352600
—
MN
01
—
104570
UCARE
MN
01
—
31P64AN
BC BS GROUP ID
MN
01
—
31P65AN
BC BS INDIVIDUAL ID
MN
01
—
6146579
MEDICA
—
01
—
9233
HEALTH PARTNERS GROUP ID
MN
01
—
HP40905
HEALTH PARTNERS INDIVIDUA
MN
Enumeration date
09/21/2006
Last updated
02/28/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up