Stephanie Mary Buck, PH.D., MACP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0680000236 Issued in VT

Practice address

831 S Mills St
Madison, WI 53715-1851

Phone

(608) 886-6478

Fax

(866) 298-4159

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1891855409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 S MILLS ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151851",
            "telephone_number": "608-886-6478",
            "fax_number": "866-298-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S MILLS ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151851",
            "telephone_number": "608-886-6478",
            "fax_number": "866-298-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "STEPHANIE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D., MACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680000236",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4801-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891855409",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Buchanan, BSN, RN
• Terry Bucheger, CADCIII,CCSII
• Victoria Rose Buchheim-Dietz, LCSW
• Kimberly A Buchta, PA
• Kara E Buck, PHARMD
• Deidre M Buckingham, PTA, LMT
• Daniel Buckland, MD PHD
• Mary J Buckman, MSW
• William Carlin Bucknam, MD
• James A Budde, PHARM.D.

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.