Benjamin Bushman, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3750 Issued in AZ

Practice address

6812 N Oracle Rd Ste 124
Tucson, AZ 85704-4256

Phone

(520) 297-9878

Fax

(520) 297-2242

NPI assigned

Nov 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• J&P Loiselle LLC

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
  • NPI 1073655544
  NPD (past)
• Jennifer Jacobson MSN Pmhnp-BC PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1861621831
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447337795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 N ORACLE RD STE 124",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044256",
            "telephone_number": "520-297-9878",
            "fax_number": "520-297-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 N ORACLE RD STE 124",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044256",
            "telephone_number": "520-297-9878",
            "fax_number": "520-297-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "BENJAMIN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0158880",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Carson Bush, LAC
• John C Bush, M.D.
• Kari B Bush, PHARMD
• Michael K. Bush, MD
• Marcee Bushfield-Kahan, FNP
• Brent Bushman, MD
• Allan Curtiss Bushnell Jr., MD, MSPH
• Roberta Buss
• Kurtis Busse, PHARM.D.
• Daisy Aiyana Bustamante-Lopez

• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.