Marie Ann Demchak-Buotte, PSYD, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2016 Issued in SC

Practice address

4000 Faber Place Dr Ste 110
North Charleston, SC 29405-8585

Phone

(833) 803-1894

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1194151092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51913 ANNIE AVE",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697979",
            "telephone_number": "845-820-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR STE 110",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058585",
            "telephone_number": "833-803-1894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Wierk Ave",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NY",
            "postal_code": "127542117",
            "country_code": "US",
            "telephone_number": "845-295-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMCHAK-BUOTTE",
        "first_name": "MARIE",
        "middle_name": "ANN",
        "credential": "PSYD, M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "2016",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dehlbom, DC
• Christine Michelle Delcioppo, APRN, A-GNP-C
• Daniela Delgado
• Gabriela Delgado, MD
• Melissa Demarco
• Reya Demirozu, PMHNP
• Jackson Dempsey
• Dental Professionals of South Carolina, PC (North Charleston Family Dental)
• Dentistry for Children of S. Carolina PC
• Denturecarellc (Denture Care Shop)

• Clinical Psychologist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.