Organization Active NPI

Charles M. Buhrman, Jr., PSYD, LLC

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1245292663
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CHARLES M. BUHRMAN, JR., PSYD, LLC
Practice address
8549 Montgomery Road
Cincinnati, OH 45263-0001
Phone
(513) 984-2200
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Charles M. Buhrman, PSYD
Title
President
Phone
(513) 984-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8549 Montgomery Road
Cincinnati, OH 45263-0001

Mailing address

8549 Montgomery Road
Cincinnati, OH 45263-0001
Phone (513) 984-2200

Other identifiers 2

IdentifierTypeStateIssuer
2658557MedicaidOH
89900146MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060404000014 OH Part B Supplier - Clinic/Group Practice 1254349186 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH
O20220530000231 FL Part B Supplier - Clinic/Group Practice 1254349186 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL; Venice, FL

National Provider Directory

National Provider Directory

Locations

19621 Cochran Blvd
Ste 3
Pt Charlotte, FL 33948
Phone (941) 627-9095

8549 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 984-3099

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

7759 University Dr
West Chester, OH 45069
Phone (513) 463-2518

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1245292663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 MONTGOMERY ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "513-984-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8549 MONTGOMERY ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "513-984-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M. BUHRMAN, JR., PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "BUHRMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-984-2200",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2658557",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89900146",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.