Individual provider Active NPI

Christopher James BH Bauchman, PSYD

  • Clinical Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1154615615
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9248 Issued in FL
Practice address
100 Village Square Xing
Suite 204
Palm Beach Gardens, FL 33410-4545
Phone
(561) 328-7567
Fax
(844) 425-2483
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY9248 FL Primary

Addresses

Primary practice location

100 Village Square Xing
Suite 204
Palm Beach Gardens, FL 33410-4545

Mailing address

100 Village Square Xing
Suite 204
Palm Beach Gardens, FL 33410-4545
Phone (561) 328-7567

Other names 1

  • Dr. Christopher J BH Bauchman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831000479 FL Practitioner - Clinical Psychologist 7719100858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11000 Prosperity Farms Rd
Suite 202
Palm Beach Gardens, FL 33410-3462
Phone (561) 328-7567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher J. BH. Bauchman, Psy.D., LLC CurrentSince Jun 9, 2015 Accepting new patients

Locations

100 Village Square Xing
Ste 204
Palm Beach Gardens, FL 33410
Phone (561) 328-7567

11000 Prosperity Farms Rd
Ste 202
Palm Beach Gardens, FL 33410
Phone (561) 328-7567

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1154615615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQUARE XING",
            "address_2": "SUITE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104545",
            "telephone_number": "561-328-7567",
            "fax_number": "844-425-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQUARE XING",
            "address_2": "SUITE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104545",
            "telephone_number": "561-328-7567",
            "fax_number": "844-425-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCHMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES BH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "BAUCHMAN",
            "middle_name": "J BH",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.