William Howard Buddin Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1268 Issued in SC

Practice address

29 Leinbach Dr
Suite D4
Charleston, SC 29407-7071

Phone

(843) 509-6521

Fax

(843) 636-3406

NPI assigned

Jun 14, 2013

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• South Carolina Neuro, LLC

  • Clinical Neuropsychologist
  • Charleston, SC
  • NPI 1184132193
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1215375035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LEINBACH DR",
            "address_2": "SUITE D4",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077071",
            "telephone_number": "843-509-6521",
            "fax_number": "843-636-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LEINBACH DR",
            "address_2": "SUITE D4",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077071",
            "telephone_number": "843-509-6521",
            "fax_number": "843-636-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDIN",
        "first_name": "WILLIAM",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Franklin Buck, PA-C
• Michaela Buckhannon, LISW CP
• Jason Robert Buckley, M.D.
• Stephen Budd
• Ann Katherine Buddin, PHARMD
• Budev Eyecare & Surgery, PA
• Milos Budisavjevic, M.D.
• Mary Christine Buehner, PHARMD
• Rachel Bueno, APRN, WHNP-BC
• Wolf D Bueschgen, DMD

• Clinical Psychologist in Charleston, SC
• Providers in 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 Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.