Active NPI
Stephen Charles Buck, PSY.D.
- Psychologist
- Medford, MA
National Provider Identifier
1902266596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 10037
- Practice address
- 120 Curtis St
Medford, MA 02155-5819 - Phone
- (617) 627-3360
- NPI assigned
- Feb 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 10037 | MA | Primary |
Addresses
Primary practice location
120 Curtis St
Medford, MA 02155-5819
Mailing address
49 Carroll St
Watertown, MA 02472-3330
Phone (917) 414-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10037 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1902266596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 CARROLL ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723330",
"telephone_number": "917-414-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CURTIS ST",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021555819",
"telephone_number": "617-627-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "STEPHEN",
"middle_name": "CHARLES",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-25",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "10037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.