Active NPI
Lynn F Bufka, PHD
- Clinical Psychologist
- Silver Spring, MD
National Provider Identifier
1598882235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04157
- Practice address
- 11161 New Hampshire Ave
Suite 307
Silver Spring, MD 20904-2606 - Phone
- (301) 593-6554
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04157 | MD | Primary |
| Clinical Psychologist | 103TC0700X | 7344 | MA |
Addresses
Primary practice location
11161 New Hampshire Ave
Suite 307
Silver Spring, MD 20904-2606
Mailing address
12902 Ruxton Rd
Silver Spring, MD 20904-5278
Phone (240) 868-6122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Sep 3, 2014 through Sep 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7344 | MA | MD | Clinical Psychologist |
| 04157 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvord Baker & Associates LLC | Past | Accepting new patients | |
| Eleanor Ford MD PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Rockville, MD
- NPI 1316090673
-
- Medical Specialty Clinic/Center
- Silver Spring, MD
- NPI 1306177316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598882235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12902 RUXTON RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045278",
"telephone_number": "240-868-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11161 NEW HAMPSHIRE AVE",
"address_2": "SUITE 307",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042606",
"telephone_number": "301-593-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFKA",
"first_name": "LYNN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04157",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7344",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.