Keith L. Buescher, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

2921 Greenbriar Dr
Suite B-1
Springfield, IL 62704-6425

Phone

(217) 546-3118

Fax

(217) 546-3184

NPI assigned

May 16, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological Services of Central Illinois PCGroup PAC ID 5193722452, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Psychological Services of Central Illinois, P.C.

  • Clinical Psychologist
  • Springfield, IL
  • NPI 1245281583
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841242450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 GREENBRIAR DR",
            "address_2": "SUITE B-1",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046425",
            "telephone_number": "217-546-3118",
            "fax_number": "217-546-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 GREENBRIAR DR",
            "address_2": "SUITE B-1",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046425",
            "telephone_number": "217-546-3118",
            "fax_number": "217-546-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUESCHER",
        "first_name": "KEITH",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "064594",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5605298",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "160279 (MHS)",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "282605",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Rose Buckholz, MD
• Emily Buckley, CRNA
• Amy Leigh Budinger, THERAPIST
• Jesse Tao Buedefeldt-Pollard, M.D.
• Abigail Buerkett, DC
• Lucinda S Buescher, M.D.
• Ryan Lee Buettner, MD
• Misty M Buffenmeyer, APRN
• Frances Magnoila Bugg
• Billie Lee Buhnerkempe, MS, PA-C

• Clinical Psychologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.