Jessica Buckland

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017577 Issued in PA

Legal business name

JESSICA BUCKLAND

Practice address

1315 S Allen St
Suite 303
State College, PA 16801-5923

Phone

(814) 689-9650

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Buckland, PSY. D.

Title

Owner, Clinical Psychologist

Phone

(814) 206-6588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1306226691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HAVERFORD CIR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031177",
            "telephone_number": "814-206-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S ALLEN ST",
            "address_2": "SUITE 303",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015923",
            "telephone_number": "814-689-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA BUCKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "BUCKLAND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-206-6588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in State College, PA
• Providers in State College, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.