Steven F Bucky, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY3939 Issued in CA

Practice address

10455 Pomerado Rd BLDG M-15
San Diego, CA 92131-1717

Phone

(619) 464-1196

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1164635140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9974 SCRIPPS RANCH BLVD # 24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311825",
            "telephone_number": "619-464-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 POMERADO RD BLDG M-15",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311717",
            "telephone_number": "619-464-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKY",
        "first_name": "STEVEN",
        "middle_name": "F",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY3939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL39390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Buckner, LVN
• Tina Louise Buckner, PSY.D.
• Laura Jean Buckwalter
• Naomi R. Buckwalter, MD
• Ashley Buckwold, PMHNP-BC
• Cristina Gonzalez Buclatin, PT, DPT
• Lynn Anne Buczek, L.AC.
• Daniel James Buda
• Aristides Budar
• Tatyana Budarina, OD

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.