DR. JUDY LEE ANTONELLO PH.D.
NPI 1235238049
Psychologist - Clinical in West St Paul, MN

Q: What is Judy Antonello's NPI number?

The NPI number for Judy Antonello is 1235238049. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Judy Antonello's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Judy Antonello was last updated on February 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 21, 2006PECOS Enrolled

260 WENTWORTH AVE E # 124, WEST ST PAUL, MN 55118(651) 688-2335(651) 688-2669 Get Directions Write a Review

NPPES record last updated: February 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2021, Jan 30, 2017 (2 updates tracked since 2017).

On this page

About Dr. Judy Lee Antonello Ph.d. NPPES

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

DR. JUDY LEE ANTONELLO PH.D. (NPI 1235238049) is an individual clinical provider in West St Paul, Minnesota, licensed in Minnesota (LP0444) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1235238049

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JUDY LEE ANTONELLOCredential: PH.D.

Location Address260 WENTWORTH AVE E # 124West St Paul, MN 55118-3525

Mailing Address825 Deer Trail PtMendota Heights, MN 55118-2750 · (651) 688-2335 · Fax (651) 688-2669

Phone(651) 688-2335

Fax(651) 688-2669

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateSeptember 21, 2006

Last NPPES UpdateFebruary 28, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2021

✔ NPI 1235238049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP0444

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.

260 WENTWORTH AVE E # 124, West St Paul, MN 55118

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Other Identifiers 7

Other31P64ANMN · Bc Bs Group Id

Other31P65ANMN · Bc Bs Individual Id

Other104570MN · Ucare

Medicaid100352600MN

OtherHP40905MN · Health Partners Individua

Other9233MN · Health Partners Group Id

Other6146579Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Judy Lee Antonello Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002854288

PECOS Enrollment IDI20050419000620

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 55118 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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 Antonello's NPI number?

The NPI number for Judy Antonello is 1235238049. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Judy Antonello located?

Judy Antonello practices at 260 Wentworth Ave E # 124, West St Paul, MN 55118. The listed phone number is (651) 688-2335.

What is Judy Antonello's specialty?

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

Is Judy Antonello enrolled in Medicare?

Yes. Judy Antonello is registered in the Medicare PECOS enrollment system.

What insurance does Judy Antonello accept?

Health plans from HealthPartners list Judy Antonello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Judy Antonello was last updated on February 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.