Elizabeth Ann Buhl, PSYD LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4637 Issued in MN

Practice address

600 25TH Ave S
Suite 109 Roosevelt Office Park
Saint Cloud, MN 56301-4841

Phone

(320) 255-0343

Fax

(320) 654-0318

NPI assigned

Jun 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elizabeth a. Buhl, Psy.D., LP, LLC

  • Psychologist
  • Saint Cloud, MN
  • NPI 1306123187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1750326401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 25TH AVE S",
            "address_2": "SUITE 109 ROOSEVELT OFFICE PARK",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014841",
            "telephone_number": "320-255-0343",
            "fax_number": "320-654-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 25TH AVE S",
            "address_2": "SUITE 109 ROOSEVELT OFFICE PARK",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014841",
            "telephone_number": "320-255-0343",
            "fax_number": "320-654-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PSYD  LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "097H4BU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP59542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "138102",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567607000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1046154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Buckalew, PT
• Christopher Scott Buckles, D.O.
• Stephanie Budgett, PTA
• Mary Buehler, RBT
• Sara Buermann
• Mark S Buhr, PA
• Carmen M Buiceag Arama, MD
• Adam Bukar
• Sara Bukowski
• Christina Marie Bulisco, MD

• Psychologist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.