Roger W Buddington, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY001926 Issued in GA

Practice address

4485 Tench Rd
Suite 840
Suwanee, GA 30024-6741

Phone

(770) 493-9177

Fax

(770) 945-7214

NPI assigned

Dec 19, 2007

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Buddington Psychology Clinic, PC

  • Psychologist
  • Suwanee, GA
  • NPI 1366626970
  NPD (past) Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1639353246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 TENCH RD",
            "address_2": "SUITE 840",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246741",
            "telephone_number": "770-493-9177",
            "fax_number": "770-945-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 TENCH RD",
            "address_2": "SUITE 840",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246741",
            "telephone_number": "770-493-9177",
            "fax_number": "770-945-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDINGTON",
        "first_name": "ROGER",
        "middle_name": "W",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Brown, RN
• Emalyn Brumby, OTR/L
• Kathleen Brunner, M.ED.CCC-SLP
• Rita Mong Bruss, LMT
• Buddington Psychology Clinic, PC
• Sharon C Buddington, LCSW
• Marla Kiser Buie, AGPCNP
• Building Bolcks 4 Life
• Building Intimate Marriages, Inc.
• Stacy Gayle Bura, CCC-SLP

• Psychologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.