Individual provider Active NPI

Catherine Marie Buksar, M.A.

  • Clinical Psychologist
  • Munster, IN
National Provider Identifier
1780993634
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20043119A Issued in IN
Practice address
9250 Columbia Ave
Suite E2
Munster, IN 46321-3538
Phone
(219) 595-0043
Fax
(312) 754-9402
NPI assigned
Sep 27, 2010
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 20043119A IN Primary

Addresses

Primary practice location

9250 Columbia Ave
Suite E2
Munster, IN 46321-3538

Mailing address

9250 Columbia Ave
Suite E2
Munster, IN 46321-3538
Phone (219) 595-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240213000819 VA Practitioner - Clinical Psychologist 7911284997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assessment and Therapy AssociatesGroup PAC ID 2062581481, 21 clinicians

Practice addresses (Care Compare)

1545 Crossways Blvd
Suite 250
Chesapeake, VA 23320-0218
Phone (757) 206-2772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20043119AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Waypoint Psychological Services Clinical Current Accepting new patients
Nwi Clarity Clinic Clinical CurrentSince Mar 7, 2017 Accepting new patients
Assessment & Therapy Associates PC Clinical CurrentSince Dec 4, 2023 Accepting new patients

Locations

1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404

9250 Columbia Ave
Ste 2E
Munster, IN 46321
Phone (219) 595-0043

1545 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 309-1405

1545 Crossways Blvd
Ste 25
Chesapeake, VA 23320
Phone (757) 206-2772

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

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.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1780993634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "SUITE E2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213538",
            "telephone_number": "219-595-0043",
            "fax_number": "312-754-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "SUITE E2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213538",
            "telephone_number": "219-595-0043",
            "fax_number": "312-754-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKSAR",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043119A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.