Magdalena Buczek, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

021728 Issued in NY

Practice address

185 Madison Ave Ste 1406
New York, NY 10016-4325

Phone

(917) 373-8877

NPI assigned

Aug 2, 2016

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Previously, effective Aug 2, 2016 through Aug 2, 2026

Medicare enrollment (NPD)

Not enrolled

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.

• Evoke Psychology, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1629899075
  NPD Authorized official

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1922551373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MADISON AVE STE 1406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164325",
            "telephone_number": "917-373-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MADISON AVE STE 1406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164325",
            "telephone_number": "917-373-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCZEK",
        "first_name": "MAGDALENA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakshi Buckshey, DMD
• Michael Buckstein, MD, PHD
• Lynn M Buckvar-Keltz, M.D.
• Ellen Bucobo, PA-C
• John C Bucuvalas, M.D.
• Darima Bud, DPT
• Katherine Buda, MAT
• Kristin Budd, AU.D.
• Michael Budden
• NA'Sha Laqash Budden, CBD, CPD, CMA

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.