Individual provider Active NPI

Evan Robert Buikema, PSY.D.

  • Clinical Psychologist
  • Ames, IA
National Provider Identifier
1164872172
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
090735 Issued in IA
Practice address
3600 Lincoln Way
Suite 4
Ames, IA 50014-7595
Phone
(515) 239-4410
Fax
(515) 663-4885
NPI assigned
Jun 21, 2016
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 090735 IA Primary
Clinical Psychologist 103TC0700X 6301016700 MI

Addresses

Primary practice location

3600 Lincoln Way
Suite 4
Ames, IA 50014-7595

Mailing address

3600 Lincoln Way Ste 4
Ames, IA 50014-7595
Phone (515) 239-4410

Other practice location 1

5000 Westown Pkwy Ste 358
West Des Moines, IA 50266-5921
Phone (515) 423-0461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20190515002365 IA Practitioner - Clinical Psychologist 1254674211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ames Counseling and Psychological Services PCGroup PAC ID 8921090374, 9 clinicians

Practice addresses (Care Compare)

3600 Lincoln Way
Suite 4
Ames, IA 50014-7595
Phone (515) 239-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301016700MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ames Counseling and Psychological Services PC Clinical CurrentSince May 1, 2019 Accepting new patients
Cognitive Assessment and Consulting, PLLC Clinical Current Accepting new patients

Locations

3600 Lincoln Way
Ste 4
Ames, IA 50014
Phone (515) 239-4410

5000 Westown Pkwy
Ste 358
West Des Moines, IA 50266
Phone (262) 408-0286

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1164872172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY STE 4",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4410",
            "fax_number": "515-663-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY",
            "address_2": "SUITE 4",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4410",
            "fax_number": "515-663-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Westown Pkwy Ste 358",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502665921",
            "country_code": "US",
            "telephone_number": "515-423-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUIKEMA",
        "first_name": "EVAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "090735",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.