Michele W Buchbauer, PHD
Individual provider Active NPI Psychologist · Sparta, NJ
NPI 1164522926 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164522926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2420 (NJ)
- Practice address
- 350 Sparta Ave.
Suite C-8
Sparta, NJ 07871-1150 - Phone
- (973) 729-0272
- Fax
- (973) 786-0125
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
270 Sparta Ave
Suite 202
Sparta, NJ 07871-1122
Phone (973) 945-1208
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050629000772 | NJ | Practitioner - Clinical Psychologist | 4880630946 | Practice locations: Sparta, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2420 | NJ | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2420 | NJ | Yes |
Addresses
Primary practice location
350 Sparta Ave.
Suite C-8
Sparta, NJ 07871-1150
Mailing address
350 Sparta Ave.
BLDG. C, Suite 8
Sparta, NJ 07871
Phone (973) 729-0272
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.