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DR. JUDITH G TUDIVER PH.D.
NPI 1316940182
Psychologist - Cognitive & Behavioral in Johnson City, TN

Active since May 24, 2005
415 E UNAKA AVE, JOHNSON CITY, TN 37601(423) 341-4752(423) 283-0931 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Judith G Tudiver Ph.d. NPPES

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

DR. JUDITH G TUDIVER PH.D. (NPI 1316940182) is an individual cognitive & behavioral provider in Johnson City, Tennessee, licensed in Tennessee (P0000002479) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1316940182
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. JUDITH G TUDIVERCredential: PH.D.
Location Address415 E UNAKA AVEJohnson City, TN 37601-4030
Mailing Address3337 Bondwood CirJohnson City, TN 37604-8904 · (423) 341-4752 · Fax (423) 283-0931
Phone(423) 341-4752
Fax(423) 283-0931
Sole ProprietorYes
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1316940182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in TN · P0000002479
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
415 E UNAKA AVE, Johnson City, TN 37601
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Other Identifiers 8

Medicaid3982954TN
Other4065358TN · Bs Pin-unaka Address
Medicaid010300860VA
Other229346TN · Compsych
Other7270161TN · Aetna Pin
Other4065358TN · Bc Bs Tn Pin
Other540270000TN · Magellan Mis
Medicare PIN3982954TN

Other Providers at the Same Location NPPES 2

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

DOGWOOD PSYCHOLOGICAL SERVICES OF EAST TENNESSEE
Psychologist (Clinical)
415 E UNAKA AVE
JOHNSON CITY, TN 37601
Washington County (423) 364-2972
JAMES ERIC FELTMAN LPC-MHSP
Counselor (Mental Health)
415 E UNAKA AVE
JOHNSON CITY, TN 37601
Washington County (423) 218-2048

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 Judith Tudiver's NPI number?

The NPI number for Judith Tudiver is 1316940182. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Judith Tudiver located?

Judith Tudiver practices at 415 E Unaka Ave, Johnson City, TN 37601. The listed phone number is (423) 341-4752.

What is Judith Tudiver's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Judith Tudiver was last updated on July 9, 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.