JUDY RONAN WOODBURN PH.D.
NPI 1013937382
Psychologist - Clinical in Normal, IL

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
403 W VIRGINIA AVE, NORMAL, IL 61761(309) 268-2910(309) 268-2913 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Judy Ronan Woodburn Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY RONAN WOODBURN PH.D. (NPI 1013937382) is an individual clinical provider in Normal, Illinois and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1013937382
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJUDY RONAN WOODBURNCredential: PH.D.
Location Address403 W VIRGINIA AVENormal, IL 61761-3666
Mailing AddressPo Box 2451Bloomington, IL 61702-2451 · (309) 268-2172 · Fax (309) 268-3649
Fax(309) 268-2913
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1013937382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
403 W VIRGINIA AVE, Normal, IL 61761

Other Identifiers 4

Medicare UPINS83164
Other05732028Blue Cross Blue Shield
Medicare ID-Type UnspecifiedL93582
Medicare ID-Type Unspecified202823IL · Medicare Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Judy Ronan Woodburn Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577755578
PECOS Enrollment IDI20101008000732
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
403 W VIRGINIA AVE
NORMAL, IL 61761
Social Worker (Clinical)
403 W VIRGINIA AVE
NORMAL, IL 61761
Social Worker (Clinical)
403 W VIRGINIA AVE
NORMAL, IL 61761
Psychiatry & Neurology (Child & Adolescent Psychiatry)
403 W VIRGINIA AVE
NORMAL, IL 61761
Psychologist (Clinical)
403 W VIRGINIA AVE
NORMAL, IL 61761
Psychiatry & Neurology (Psychiatry)
403 W VIRGINIA AVE
NORMAL, IL 61761
Marriage & Family Therapist
403 W VIRGINIA AVE
NORMAL, IL 61761
Psychiatry & Neurology (Psychiatry)
403 W VIRGINIA AVE
NORMAL, IL 61761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Ronan Woodburn's NPI number?

The NPI number for Judy Ronan Woodburn is 1013937382. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Judy Ronan Woodburn located?

Judy Ronan Woodburn practices at 403 W Virginia Ave, Normal, IL 61761. The listed phone number is (309) 268-2910.

What is Judy Ronan Woodburn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Judy Ronan Woodburn enrolled in Medicare?

Yes. Judy Ronan Woodburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Judy Ronan Woodburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.