Katrina Buwalda, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3905 Issued in AZ

Practice address

2039 S Mill Ave
Suite B
Tempe, AZ 85282-2137

Phone

(480) 921-3314

Fax

(480) 967-0174

NPI assigned

Jun 22, 2011

Last updated

Jun 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buwalda Psychological Services

  • Community/Behavioral Health Agency
  • Tempe, AZ
  • NPI 1619322864
  NPD (past) Authorized official
• Ways to Well Being LLC

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1891859443
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1629364120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 S MILL AVE",
            "address_2": "SUITE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822137",
            "telephone_number": "480-921-3314",
            "fax_number": "480-967-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 S MILL AVE",
            "address_2": "SUITE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822137",
            "telephone_number": "480-921-3314",
            "fax_number": "480-967-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUWALDA",
        "first_name": "KATRINA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret A Butler, MD
• Rochelle Kathryn Butler, LMSW
• Virginia Leigh Butler, FNP
• Mark Butterfield II, RN
• Buwalda Psychological Services
• Carl G Bynum, D.O.
• Jessica Byrd, LCSW
• Kalinda Grace Byrd, PHARM.D
• C-Mac Dental LLC
• Channing Cabanillas

• Clinical Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.