Teresa Lynn Buot-Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22053 Issued in AZ

Practice address

4545 E Shea Blvd
Suite 112
Phoenix, AZ 85028-3074

Phone

(602) 494-7110

Fax

(602) 494-1724

NPI assigned

Mar 27, 2007

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Serenity TMS Centers LLC

  • Psychiatry Physician
  • Lehi, UT
  • NPI 1710492095
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1932227675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD",
            "address_2": "SUITE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283074",
            "telephone_number": "602-494-7110",
            "fax_number": "602-494-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD",
            "address_2": "SUITE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283074",
            "telephone_number": "602-494-7110",
            "fax_number": "602-494-1724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 E Camelback Rd Ste 618",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850169040",
            "country_code": "US",
            "telephone_number": "480-626-2024",
            "fax_number": "480-210-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20950 N Tatum Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504255",
            "country_code": "US",
            "telephone_number": "480-626-2024",
            "fax_number": "480-210-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Gilbert Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342394",
            "country_code": "US",
            "telephone_number": "480-626-2024",
            "fax_number": "480-210-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUOT-SMITH",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "22053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Carol Bunt, M.D., PH.D.
• Anchalee Bunthanawong
• Clara Noel Bunting
• Cody Buongiorno, DO
• Chelsey Buonocore
• Britt R Burbach
• Stephanie Burbar
• Jessica Lynn Burch-Zillweger, DO
• Andrea Burch, DPT
• David Burch, PHARMD

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.