Individual provider Active NPI

Wilfried Busse, PH.D.

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1811285554
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03181 Issued in MD
Practice address
4801 Hampden LN
Unit 104
Bethesda, MD 20814-2947
Phone
(301) 656-0701
Fax
(301) 656-0702
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 03181 MD Primary
Cognitive & Behavioral Psychologist 103TB0200X 03181 MD

Addresses

Primary practice location

4801 Hampden LN
Unit 104
Bethesda, MD 20814-2947

Mailing address

4801 Hampden LN
Unit 104
Bethesda, MD 20814-2947
Phone (301) 656-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1811285554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 HAMPDEN LN",
            "address_2": "UNIT 104",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142947",
            "telephone_number": "301-656-0701",
            "fax_number": "301-656-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 HAMPDEN LN",
            "address_2": "UNIT 104",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142947",
            "telephone_number": "301-656-0701",
            "fax_number": "301-656-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "WILFRIED",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03181",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "03181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.