Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John Buell, PSYD

Individual provider Psychologist · NPI 1063081495

Mr. John Buell, PSYD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Works from 3 locations. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2118 3 Mile Rd NW
Grand Rapids, MI 49544-1425
Phone: (616) 222-3720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 68th St Se, Grand Rapids, MI 49548-6927 — (616) 455-5000
  • 909 Sycamore St, Cincinnati, OH 45202-1305 — (513) 558-9006

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301019712 (MI)
Psychologist Taxonomy 103T00000X · Licence 6351004751 (MI)

Record details

NPI number1063081495
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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