Clifford James Buhl, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6220 Issued in MN

Practice address

890 Wescott TRL Apt 201
Eagan, MN 55123-2299

Phone

(507) 469-9077

NPI assigned

Feb 11, 2018

Last updated

Jan 24, 2020By 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

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, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Oliver Ross Psychology and Consulting LLCGroup PAC ID 0244538064, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oliver Ross Psychology and Consulting LLC

  • Group Psychotherapy Psychologist
  • Saint Paul, MN
  • NPI 1689030231

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1902305444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 WESCOTT TRL APT 201",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232299",
            "telephone_number": "507-469-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WESCOTT TRL APT 201",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232299",
            "telephone_number": "507-469-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHL",
        "first_name": "CLIFFORD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-11",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Carlson Buckley, MD
• Eleanor-Irene B Bucu, MD
• Melissa A Buelow, SLPCCC
• Karen Buendorf
• Phillip Buganski, LMFT
• Shawn Michael Bulgatz, LMFT
• Becky Jo Burdick, PA-C
• Amelia L Burgess, M.D.
• Lori Burgess, MSTCCCSLP
• Lisa Burke

• Clinical Psychologist in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.