Richard Grant Busse, PHD PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19390 Issued in CA

Practice address

315 College Avenue
Santa Rosa, CA 95401

Phone

(707) 579-8500

Fax

(707) 579-8505

NPI assigned

Jul 11, 2007

Last updated

Jul 12, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1790983724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 COLLEGE AVENUE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-579-8500",
            "fax_number": "707-579-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COLLEGE AVENUE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-579-8500",
            "fax_number": "707-579-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "RICHARD",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phalacia Lindell Burton, RN
• Bryan Emerson Bush
• Sunny Bush, NP
• Blake Buss
• Cornelia Busse, L.C.S.W.
• Esmeralda Bustamante, MA
• Anissa C Butler, MD
• Caitlin Siobhan Butler, LMFT, LPCC
• Katherine Ellen Butler, AMFT
• Natalie Butler

• Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.