LACEY M BUKHARI PSYD
NPI 1205386885
Psychologist in Wauwatosa, WI

Active since October 07, 2016PECOS EnrolledAccepts Medicare Assignment
1220 DEWEY AVE, WAUWATOSA, WI 53213(414) 454-6600 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Jan 17, 2020, Aug 26, 2019 and 1 more (4 updates tracked since 2017).

About Lacey M Bukhari Psyd NPPES

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

LACEY M BUKHARI PSYD (NPI 1205386885) is an individual psychologist in Wauwatosa, Wisconsin, licensed in Wisconsin (3424-057) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205386885
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLACEY M BUKHARICredential: PSYD
Location Address1220 DEWEY AVEWauwatosa, WI 53213-2504
Mailing Address1220 Dewey AveWauwatosa, WI 53213-2504 · (414) 454-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 7, 2016
Last NPPES UpdateNovember 29, 20214 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
NPI 1205386885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 3424-057
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1220 DEWEY AVE, Wauwatosa, WI 53213

Other Names 1

Former Name (1)Lacey M Lueck Psyd

Other Identifiers 1

Medicaid100061972WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lacey M Bukhari Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911285309
PECOS Enrollment IDI20161107001419
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
73 services69 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Pharmacist
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychologist
1220 DEWEY AVE, LORTON BLDG, RM 208
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Social Worker (Clinical)
1220 DEWEY AVE
WAUWATOSA, WI 53213

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 Lacey Bukhari's NPI number?

The NPI number for Lacey Bukhari is 1205386885. It was assigned to this individual provider in the NPPES registry on October 7, 2016. The provider is also known as Lacey M Lueck Psyd.

Where is Lacey Bukhari located?

Lacey Bukhari practices at 1220 Dewey Ave, Wauwatosa, WI 53213. The listed phone number is (414) 454-6600.

What is Lacey Bukhari's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lacey Bukhari enrolled in Medicare?

Yes. Lacey Bukhari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lacey Bukhari accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Medica, Quartz and UnitedHealthcare list Lacey Bukhari 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.

Is Lacey Bukhari affiliated with any hospitals?

According to CMS data, Lacey Bukhari is affiliated with Aurora St Lukes Medical Center, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Lacey Bukhari was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.