DR. GARY L BUCK (NPI# 1841313418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841313418 |
| Entity Type | Individual |
| Full Name | DR. GARY L BUCK |
| Credential | PHD |
| Practice Address |
1480 Lincoln Ave Ste 6 San Rafael CA 94901 |
| Mailing Address |
715 Brody Pl Petaluma CA 94954-7421 |
| Practice Telephone | 4154567724 |
| Practice Fax Number | 4154561050 |
| Mailing Telephone | 7077899357 |
| Mailing Fax Number | 7077899357 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY27298 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY27298 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY27298 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891889382 | Gary A Buck | Registered Nurse | 62 Tuckahoe Rd, Dorothy, NJ 08317-9702 | 2006-10-02 |
| 1427054253 | Gary B Buck | Anesthesiology | 510 E Landis Ave, Vineland, NJ 08360 | 2005-06-27 |
| 1417582735 | Gary Buck | Hearing Instrument Specialist | 538 N 5th Ave, Sequim, WA 98382-3079 | 2020-03-06 |
| 1780917120 | Gary A Buck | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2009-09-17 |
| 1356410310 | Gary Wayne Buck | Physician Assistant | 691 E Empire St, Cortez, CO 81321-2802 | 2006-11-06 |
| Street Address |
1480 LINCOLN AVE STE 6 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083132310 | Wellspring Psychotherapy Center | Psychologist | 30 N San Pedro Rd Ste 290, San Rafael, CA 94903-4133 | 2017-09-07 |
| 1902296197 | Phyllis Ring | Psychologist | 24 Marin Bay Park Ct, San Rafael, CA 94901-8304 | 2015-01-27 |
| 1275887903 | Tracy O'connor Schmidt | Psychologist | 1346 4th St, Suite 205, San Rafael, CA 94901-2860 | 2012-11-02 |
| 1083962336 | Raha Ghasemi | Psychologist | 111 Smith Ranch Rd., San Rafael, CA 94903 | 2012-08-16 |
| 1659633923 | Douglas P. Peter-frank | Psychologist | 1330 Lincoln Ave Ste 110b, San Rafael, CA 94901-2120 | 2012-06-13 |
| 1306158910 | Irene Mcloughlin | Psychologist | 104 Maywood Way, San Rafael, CA 94901-1132 | 2010-07-12 |
| 1881929768 | Karen Lee Motan | Psychologist | 1634 5th Street, San Rafael, CA 94901-1809 | 2009-10-09 |
| 1962633263 | Eric Norman Nadler | Psychologist | 99 Montecillo Rd., Mob 2, San Rafael, CA 94903 | 2009-08-04 |
| 1609013952 | Andrew T. Gootnick | Psychologist | 1000 5th Ave Ste 5, San Rafael, CA 94901-6103 | 2009-01-08 |
| 1568611085 | William John Hanna | Psychologist | 123 N San Pedro Rd, San Rafael, CA 94903-4271 | 2008-09-09 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.