Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Judy Lee Antonello, PHD

Individual provider Clinical Psychologist · NPI 1235238049

Dr. Judy Lee Antonello, PHD is a Clinical Psychologist in West St Paul, Minnesota. Qualified in 1999, 27 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Minnesota.

Years since qualifying
27
Licensed in
MN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

260 Wentworth Ave E # 124
West St Paul, MN 55118-3525
Phone: (651) 688-2335
Fax: (651) 688-2669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP0444 (MN)

Record details

NPI number1235238049
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESFebruary 28, 2021
Certification dateFebruary 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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