Kimberly Buffkins, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PYT0101 Issued in MO

Practice address

12303 Depaul Dr.
St. Louis, MO 63044

Phone

(314) 298-0001

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1568649663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MAGNOLIA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241555",
            "telephone_number": "858-342-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DEPAUL DR.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-298-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFKINS",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PYT0101",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Bueter, P.T.
• Susan B Buettner-Miller, ANP
• Alyssa Michelle Buettner, LCSW
• Samantha Buettner
• Gina Marie Bufe, RN, PHD, PMHCNS-BC
• Brittney Bufford
• Allison W Buford, DDS
• Shanique M Buford
• Robert Buganski
• Scott Michael Bugenhagen, MD

• Clinical Psychologist in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.