Lee Harrison Bukstel, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 0003403 Issued in FL

Practice address

398 Camino Gardens Blvd
Suite 206
Boca Raton, FL 33432-5827

Phone

(561) 391-9994

Fax

(561) 417-5019

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professionals Trust Inc.

  • Psychologist
  • Fort Lauderdale, FL
  • NPI 1750565925
  NPD (past)
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073723169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-391-9994",
            "fax_number": "561-417-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-391-9994",
            "fax_number": "561-417-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKSTEL",
        "first_name": "LEE",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 0003403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherisse Buddy
• Andrea Buehler, APRN, FNP-BC
• Meredith Anderson Buemi, AU.D.
• Gulenka Buergo
• Laurie Buford
• Susan Jean Bulfin, APRN (D.N.P.)
• Caroline Bullen, PSY.D.
• Judy Bunce
• Steven Adam Burack, D.O.
• Taylor Burch, PA-C

• Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.