MR. THEODORE LEWIS JUDD (PH.D.) – Clinical Psychologist, NPI 1255368833

MR. THEODORE LEWIS JUDD (PH.D.) is a healthcare provider. based in Bellingham, Washington. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. PY00000736 (WA). The NPI Number for MR. THEODORE LEWIS JUDD (PH.D.) is 1255368833

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MR. THEODORE LEWIS JUDD (PH.D.)
NPI
1255368833
Phone
(360) 543-8333
Address
12 BELLWETHER WAY
Enumeration Date
27 June 2006
Last Update Date
3 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
6406030691
Professional Enrollment ID
I20110413000271
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. THEODORE LEWIS JUDD (PH.D.)

  • Bellwether Way, City Center, Bellingham, Whatcom County, Washington, 98225-2409, United States

    STE 223

    BELLINGHAM, WA 982252914

    Phone: (360) 543-8333

    Fax: (360) 543-8332

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110413000271IClinical PsychologistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98225)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. THEODORE LEWIS JUDD (PH.D.)'s NPI?
Yes. MR. THEODORE LEWIS JUDD (PH.D.) is listed with NPI 1255368833 in the public NPI dataset.
Can I rely on MR. THEODORE LEWIS JUDD (PH.D.) being an active provider?
As of the registry snapshot, MR. THEODORE LEWIS JUDD (PH.D.) is marked active.
What is MR. THEODORE LEWIS JUDD (PH.D.)'s primary classification?
Clinical Psychologist is the headline specialty for MR. THEODORE LEWIS JUDD (PH.D.) here. Clinical services aligned with this taxonomy classification.
What area does MR. THEODORE LEWIS JUDD (PH.D.) serve?
MR. THEODORE LEWIS JUDD (PH.D.)'s listing highlights Bellingham, Washington; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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