Tina Louise Buckner, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PSY16874 Issued in CA

Practice address

5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019

Phone

(619) 574-0924

Fax

(619) 337-2779

NPI assigned

Sep 3, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Alderman and Marshall Inc.

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1306163274
  NPD

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1598867079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 MISSION GORGE RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204019",
            "telephone_number": "619-574-0924",
            "fax_number": "619-337-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 MISSION GORGE RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204019",
            "telephone_number": "619-574-0924",
            "fax_number": "619-337-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY16874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie M Buckman
• Charlotte Buckner, PT, DPT
• Joseph Anthony Buckner, PA-C
• Rebecca Buckner
• Scott Buckner, LVN
• Laura Jean Buckwalter
• Naomi R. Buckwalter, MD
• Ashley Buckwold, PMHNP-BC
• Steven F Bucky, PH.D.
• Cristina Gonzalez Buclatin, PT, DPT

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.