Robert Joseph Buzick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5553 Issued in ND

Practice address

523 Demers Ave
Grand Forks, ND 58201-4528

Phone

(701) 354-1387

NPI assigned

Sep 15, 2020

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Buzick Counseling Services, PLLC

  dba Beyond Therapy ND

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1497468821
  NPD
• Lacy M. Suby, PLLC

  dba Level Up Mental Health Collaborative

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1609493329
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1083229082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014528",
            "telephone_number": "701-354-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014528",
            "telephone_number": "701-354-1387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 S Columbia Rd Ste A217",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014054",
            "country_code": "US",
            "telephone_number": "701-732-3367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 13th Ave NW",
            "address_purpose": "LOCATION",
            "city": "East Grand Forks",
            "state": "MN",
            "postal_code": "567211021",
            "country_code": "US",
            "telephone_number": "218-201-1733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUZICK",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26214",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Leeann Busko, MD
• Kassidy Danae Bustamante
• Ivan Jose Bustillo Chams, MD
• Buzick Counseling Services, PLLC (Beyond Therapy ND)
• Amber Buzick, LCSW, LICSW
• Michael J Bydal, MA
• Norman T Byers, MD
• David Michael Byrne, MD
• Eugene B Byron, MD
• Tami Dawn Byzewski, BS

• Clinical Social Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.