Ernestina S Buck, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1608 Issued in AZ

Practice address

33 Subway St
Bisbee, AZ 85603

Phone

(520) 227-3695

Fax

(855) 568-6439

NPI assigned

Aug 3, 2010

Last updated

Jan 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482
  NPD

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1245544162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4171",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856034171",
            "telephone_number": "520-227-3695",
            "fax_number": "855-568-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SUBWAY ST",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "85603",
            "telephone_number": "520-227-3695",
            "fax_number": "855-568-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ERNESTINA",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-1608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bisbee Unified School District
• Pamela Rose Blunt, LCSW
• Boys & Girls Club of Bisbee,Az,Inc
• Brave Path Counseling PLLC
• Julia M Brown, M.D.
• Shadd Nathan Cabalatungan, M.D.
• Phyllis Cavanaugh, D.C.
• Nicole M. Chavez, N.P.
• Chiricahua Community Health Centers, Inc (Chiricahua Community Health Centers, INC-Bisbee Clinic)
• Chiricahua Community Health Centers, Inc (Chiricahua Community Health Centers, Inc - Bisbee)

• Professional Counselor in Bisbee, AZ
• Providers in Bisbee, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.