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STEVEN F BUCKY PHD APC NPI 1255509485


NPI Information

NPI: 1255509485
Provider Name: STEVEN F BUCKY PHD APC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
10455 POMERADO RD BLDG M-15
SAN DIEGO, CA
ZIP 92131
Phone: (619) 464-1196
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STEVEN F BUCKY PHD APC is a mental health (including community mental health center) clinic center in San Diego, CA. STEVEN F BUCKY PHD APC NPI is 1255509485. The provider is registered as an organization entity type.

The provider's business location address is:

10455 POMERADO RD BLDG M-15
SAN DIEGO, CA
ZIP 92131-717
Phone: (619) 464-1196

The provider's authorized official is Steven F Bucky .
The authorized official title is Psychologist and has the following contact phone number (619) 464-1196.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 2/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)PSY3939CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CP3939MEDICARE UPINCALIFORNIA
200PL39390MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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