Michael Allan Budnik, L.I.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I-08219 Issued in NM

Practice address

8 El Cerro Trail
Santa Fe, NM 87508

Phone

(505) 438-6039

NPI assigned

Feb 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Alegre Psychotherapy and Counseling, LLC

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1417328303

  Clinical, NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1669712923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EL CERRO TRAIL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EL CERRO TRAIL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87508",
            "telephone_number": "505-438-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDNIK",
        "first_name": "MICHAEL",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-08219",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerri L Bryson, P.T.
• James Richard Buchanan, MD
• Elizabeth A Buck, LPCC
• Eric Raymond Buckley, DOM
• Beth Budesheim, LMT, RN
• Tiana Bueno
• Jerome De Castro Buenviaje, D.C.
• Melanie Daelo Buenviaje, DC
• Ruth Anne Buhl, R.P.T.
• Building Blocks Pediatric Therapies

• All providers in Santa Fe, NM
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.

Verify at the official NPI Registry.