Jessica Buick, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30084 Issued in CA

Practice address

242 Hartnell Ave
Redding, CA 96002-1844

Phone

(530) 941-7295

NPI assigned

May 7, 2018

Last updated

May 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1396234126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021844",
            "telephone_number": "530-941-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021844",
            "telephone_number": "530-941-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUICK",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "30084",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30084",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "30084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lee Brynjolfsson, ED.D.
• Daniel William Buchanan
• Susan Bucher
• Tayonna Buck
• Christopher John Buckley, PA-C
• John Richard Bulbuk, DC
• Neel Bulchandani, D.C.
• Kelly Lynn Bullan
• Monica J. Bullard, CNM
• Katherine Elizabeth Bunker, PT, DPT

• Clinical Psychologist in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.