NPIMap

Organization Active NPI

Buwalda Psychological Services

  • Community/Behavioral Health Agency
  • Tempe, AZ
National Provider Identifier
1619322864
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSLG7573 Issued in AZ
Legal business name
BUWALDA PSYCHOLOGICAL SERVICES
Practice address
1405 E Guadalupe Rd
Tempe, AZ 85283-3971
Phone
(480) 921-3314
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Katrina Buwalda, PSYDNPI 1629364120
Title
Psychologist/Proprietor
Phone
(480) 921-3314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSLG7573 AZ Primary

Addresses

Primary practice location

1405 E Guadalupe Rd
Tempe, AZ 85283-3971

Mailing address

1405 E Guadalupe Rd
Tempe, AZ 85283-3971
Phone (480) 921-3314

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1619322864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 E GUADALUPE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833971",
            "telephone_number": "480-921-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E GUADALUPE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833971",
            "telephone_number": "480-921-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUWALDA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "BUWALDA",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PROPRIETOR",
        "authorized_official_telephone_number": "480-921-3314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSLG7573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.