Heather Busser-Demarte, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014871 Issued in MI

Practice address

580 W College Ave
Marquette, MI 49855-2736

Phone

(906) 225-3985

NPI assigned

Aug 10, 2011

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

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Sandy Shores Behavioral Health Services, PLLC

  • Clinical Psychologist
  • Marquette, MI
  • NPI 1922877638
  Medicare reassignment NPD Authorized official
• Marquette General Hospital, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marquette, MI
  • NPI 1205903051
  NPD (past)
• Marquette General Hospital, Inc.

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1710941935
  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1497034375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 AUTUMN TRL",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552736",
            "telephone_number": "906-225-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSER-DEMARTE",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007572",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Buran, M.D.
• Traci Lynn Buran, FNP
• Chloe Burke
• Amy Sue Burri, FNP
• Lucas Burrows, BS
• Adam Butcher, MD
• Kelly S Byczek, REGISTERED DIETITIAN
• Byma Chiropractic, P.C.
• Randall John Byma, DC
• Rachel Byrne

• Clinical Psychologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.