Mariel Buque PH.D. Psychology PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MARIEL BUQUE PH.D. PSYCHOLOGY PLLC

Practice address

21 Lexington Ave
Bloomfield, NJ 07003

Phone

(407) 212-7768

NPI assigned

Jan 23, 2026

Organization subpart

No

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

Authorized official

Name

Mariel Buque, PH.D.NPI 1679952733

Title

Owner

Phone

(973) 519-5033

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mariel Buque, PH.D.

  • Psychologist
  • Bloomfield, NJ
  • NPI 1679952733
  NPD Authorized official

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1407705510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 LORIMER ST STE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LEXINGTON AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "407-212-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIEL BUQUE PH.D. PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "BUQUE",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-519-5033",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.