Active NPI
Whitney Buckley, PSYD
- Clinical Child & Adolescent Psychologist
- Fairfield, CT
National Provider Identifier
1073127270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 003180
- Practice address
- 2228 Black Rock Tpke Ste 304
Fairfield, CT 06825-3237 - Phone
- (203) 993-0479
- NPI assigned
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 003180 | CT | Primary |
Addresses
Primary practice location
2228 Black Rock Tpke Ste 304
Fairfield, CT 06825-3237
Mailing address
10 Westwood Rd
Fairfield, CT 06825-1659
Phone (203) 521-4608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003180 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1073127270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WESTWOOD RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068251659",
"telephone_number": "203-521-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2228 BLACK ROCK TPKE STE 304",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253237",
"telephone_number": "203-993-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "WHITNEY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CT",
"license": "003180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.