Lara Colleen Buckley, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY33291 Issued in CA

Practice address

1756 S Lewis Rd
Camarillo, CA 93012-8520

Phone

(805) 383-3669

Fax

(805) 383-3692

NPI assigned

Jun 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1649565656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N WOOD RD STE 302",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108312",
            "telephone_number": "805-910-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 S LEWIS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128520",
            "telephone_number": "805-383-3669",
            "fax_number": "805-383-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "LARA",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "174400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leesha Brunson
• Susan Bryan
• Janelle Buchanan
• Patrick Dennis Buchanan, M.D.
• Celes Elizabeth Buck, MICROPIGMENTATION
• Joanne C Budzinski
• Michael G Buffo, O.D.
• Candice Bugh, OT
• Jonathan E Bugh, DC
• Christine Marie Bunch, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.