Gabriella C. Buchnik, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2923-154 Issued in WI

Practice address

10303 N Port Washington Rd
Suite 203
Mequon, WI 53092-5760

Phone

(262) 241-5955

Fax

(262) 241-5926

NPI assigned

Jul 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• North Shore Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mequon, WI
  • NPI 1780755389
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154528172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W WAYSIDE DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532092186",
            "telephone_number": "414-540-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 N PORT WASHINGTON RD",
            "address_2": "SUITE 203",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925760",
            "telephone_number": "262-241-5955",
            "fax_number": "262-241-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHNIK",
        "first_name": "GABRIELLA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2923-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGIST",
            "identifier": "235Z00000X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J. Brunner, DDS
• Tira Brust
• Adam Bryant
• Julie Brzezinski X, M.S., CCC-SLP
• Kelly Marie Bublitz, APNP
• Katherine Bugni
• Nicole D Bullock, LBWMT
• Nicholas Burgei, D.C.
• Shari L. Buske, D.P.M.
• Heather A Byrne, PHD

• Speech-Language Pathologist in Mequon, WI
• Providers in Mequon, WI by specialty
• Speech-Language Pathologist in Wisconsin

• 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.