DR. JON MICHAEL BUYLE (NPI# 1558683201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558683201 |
| Entity Type | Individual |
| Full Name | DR. JON MICHAEL BUYLE |
| Credential | PHD |
| Practice Address |
1111 W 6th St Ste 111 Los Angeles CA 90017-1823 |
| Mailing Address |
625 Fair Oaks Ave Ste 200 South Pasadena CA 91030-2694 |
| Practice Telephone | 3234041027 |
| Practice Fax Number | 3233408298 |
| Mailing Telephone | 3233415580 |
| Mailing Fax Number | 3233408298 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301001760 | MI | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
235724 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1111 W 6TH ST STE 111 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255498911 | Schwana Bowe | Licensed Vocational Nurse | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2007-01-02 |
| 1316569718 | Christina Marie Del Carmen | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2020-05-08 |
| 1619523958 | Taryn Nicole El Bayar | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-08-13 |
| 1780140848 | Lily Alexandra Bollinger | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-02-13 |
| 1568936664 | Stacey R Kim | Behavior Technician | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-01-11 |
| 1104399534 | Sophia Taylor | Assistant Behavior Analyst | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-01-08 |
| 1508345711 | Marisol Garcia-macias | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2018-08-08 |
| 1568940088 | Nicolette Chantal Buenrostro | Speech-Language Pathologist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2018-08-06 |
| 1306342845 | Roxana Larios Ponce | Specialist/Technologist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2018-04-03 |
| 1194231555 | Kimberly Kay Sinclair | Behavioral Analyst | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2017-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1740776848 | Patricia Z Tan | Psychologist | 300 Medical Plaza #2200, Los Angeles, CA 90095-0001 | 2018-07-02 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| 1275901928 | Alycia Davis | Psychologist | 1000 Veteran Ave., Los Angeles, CA 90095-7142 | 2015-09-11 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1982002325 | Samantha Levy | Psychologist | 2305 Pelham Ave, Los Angeles, CA 90064-2211 | 2014-12-17 |
| 1407264609 | Carin Laue | Psychologist | 12777 W Jefferson Blvd, Building D, Suite 300, Los Angeles, CA 90066-7048 | 2014-07-31 |
| 1306130596 | Ryan Paul Kulea Talbert | Psychologist | 6404 1/2 Roble Ave Apt 10, Los Angeles, CA 90042-3584 | 2011-06-05 |
| 1285933184 | Lindsey Jana Sterling | Psychologist | 760 Westwood Plz # 27-370d, Los Angeles, CA 90095-8353 | 2011-03-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.