MR. JOHN BUELL PSYD
NPI 1063081495
Psychologist - Clinical in Grand Rapids, MI

Q: What is John Buell's NPI number?

The NPI number for John Buell is 1063081495. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Q: What is John Buell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for John Buell was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2021PECOS Enrolled

2118 3 MILE RD NW, GRAND RAPIDS, MI 49544(616) 222-3720 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Aug 21, 2024, Apr 9, 2024 and 2 more (5 updates tracked since 2021).

On this page

About Mr. John Buell Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN BUELL PSYD (NPI 1063081495) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301019712) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063081495

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. JOHN BUELLCredential: PSYD

Location Address2118 3 MILE RD NWGrand Rapids, MI 49544-1425

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 222-3720

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 21, 2021

Last NPPES UpdateSeptember 4, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1063081495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301019712

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 6351004751 (MI)

2118 3 MILE RD NW, Grand Rapids, MI 49544

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Buell Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486158375

PECOS Enrollment IDI20250915003788

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELODY J. EDWARDS LMSW, CAADC

Social Worker (Clinical)

2118 3 MILE RD NW
GRAND RAPIDS, MI 49544

Kent County (616) 222-3720

SHELBI RAELYNNE GABBARD LMHCA, ATR-P

Psychologist

2118 3 MILE RD NW
GRAND RAPIDS, MI 49544

Kent County (616) 222-3720

MISS ALLISON CHRISTINE BAKER LPC

Counselor (Professional)

2118 3 MILE RD NW
GRAND RAPIDS, MI 49544

Kent County (616) 364-1500

SARAH KATHRYN DEYOUNG LMSW

Social Worker (Clinical)

2118 3 MILE RD NW
WALKER, MI 49544

Kent County (616) 222-3720

CHELSEA MAUREEN WIERSMA LMSW

Social Worker (Clinical)

2118 3 MILE RD NW
GRAND RAPIDS, MI 49544

Kent County (616) 222-3720

PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Psychiatry & Neurology (Psychiatry)

2118 3 MILE RD NW
GRAND RAPIDS, MI 49544

Kent County (616) 222-3720

AMANDA SHANEBERGER

Counselor (Mental Health)

2118 3 MILE RD NW
GRAND RAPIDS, MI 49544

Kent County (616) 222-3720

LINDSEY ELIZABETH ROSA LPC

Counselor (Professional)

2118 3 MILE RD NW
GRAND RAPIDS, MI 49544

Kent County (616) 222-3720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Buell's NPI number?

The NPI number for John Buell is 1063081495. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is John Buell located?

John Buell practices at 2118 3 Mile Rd NW, Grand Rapids, MI 49544. The listed phone number is (616) 222-3720.

What is John Buell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Buell enrolled in Medicare?

Yes. John Buell is registered in the Medicare PECOS enrollment system.

What insurance does John Buell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list John Buell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Buell was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.