Clare N Buntrock, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP3140 Issued in MN

Practice address

10275 Wayzata Blvd
#270
Minnetonka, MN 55305-1659

Phone

(952) 401-9317

Fax

(952) 470-2229

NPI assigned

Sep 28, 2009

Sex

Female

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

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1144554858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 WAYZATA BLVD",
            "address_2": "#270",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051659",
            "telephone_number": "952-401-9317",
            "fax_number": "952-470-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10275 WAYZATA BLVD",
            "address_2": "#270",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051659",
            "telephone_number": "952-401-9317",
            "fax_number": "952-470-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTROCK",
        "first_name": "CLARE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jo Buechler
• Karla Buerkle, PH.D.
• Vanessa Bullinger, LADC
• Jonathan Weiss Bundt, LMFT
• Tara Ann Bungum, LICSW
• Victoria B Buoen, MD PSYCHIATRIST
• Brittany Marie Burke
• Erica Miller Burke, MS
• Johanna Wenhua Burkstaller, LICSW
• Leslie Erin Burnett, LMFT

• Clinical Psychologist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.