Carly Jayne Bueltel, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010677 Issued in IL

Practice address

820 N Orleans St Ste 350
Chicago, IL 60610-3145

Phone

(312) 809-0298

NPI assigned

Dec 1, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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 and National Provider Directory roles.

• Process Psychotherapy PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1861181687
  NPD Authorized official
• Wildflower Center for Emotional Health PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1114342599
  NPD

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1376201897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145",
            "telephone_number": "312-809-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELTEL",
        "first_name": "CARLY",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010677",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kyung Buehler, PH.D.
• Amber N Buehner, FNP
• Kelli A Buehner, M.S., CCC-SLP
• Kevin George Buell, MBBS
• Michelle Buelow, R.D.
• Joan Nicole Buen, M.D.
• Buena Vida Home Health Agency Inc.
• Buena Vista Optical, P.C.
• Brian Buenaventura, APN CRNA
• Erin M Buenger, DPT

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.