Active NPI
Charles M. Buhrman Jr. Jr., PSYD.
- Psychologist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4324
- Practice address
- 500 Dr Martin Luther King Jr St N Ste N
St Petersburg, FL 33705-1472 - Phone
- (727) 357-6447
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4324 | OH | Primary |
Addresses
Primary practice location
500 Dr Martin Luther King Jr St N Ste N
St Petersburg, FL 33705-1472
Mailing address
3340 Wood Thrush Dr
Punta Gorda, FL 33950-2620
Phone (859) 291-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0903777 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 908 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles M. Buhrman, Jr., PSYD, LLC | Psychologist | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Psychologist | Past | Accepting new patients |
| Pain Care Institute, LTD. | Past | Accepting new patients |
Locations
19621 Cochran Blvd
Ste 3
Pt Charlotte, FL 33948
Phone (941) 627-9095
2845 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-3412
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
8549 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 984-3099
Organizations & group practices 3
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.
-
- Interventional Pain Medicine Physician
- Fort Thomas, KY
- NPI 1154387439
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1669442703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 WOOD THRUSH DR",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339502620",
"telephone_number": "859-291-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DR MARTIN LUTHER KING JR ST N STE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051472",
"telephone_number": "727-357-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUHRMAN JR.",
"first_name": "CHARLES",
"middle_name": "M.",
"name_suffix": "Jr.",
"credential": "PSYD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0903777",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.