Johanna Eastman Buzolits, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301012437 Issued in MI

Practice address

2350 Washtenaw Ave
Suite 8
Ann Arbor, MI 48104-4532

Phone

(734) 646-0885

NPI assigned

Oct 27, 2009

Sex

Female

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 MI

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arbor Wellness Center, PLLCGroup PAC ID 7911483862, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Arbor Wellness Center, PLLC

  • Psychologist
  • Ann Arbor, MI
  • NPI 1548750623
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1417283441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE",
            "address_2": "SUITE 8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-646-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE",
            "address_2": "SUITE 8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-646-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZOLITS",
        "first_name": "JOHANNA",
        "middle_name": "EASTMAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eudondra L Butts, LPN
• Harriet Cuddihy Butz, LMSW
• Cheryl Lynne Butzin, RDH
• Buys Consulting, LLC Dba BLND Health
• Kimberlee Ann Buzenberg, NP
• Mary Buzzard
• Anna Byberg
• Helen Frances Byberg, PT
• Ashley L Byers, LLC
• Jordan Ashley Byers

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.