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JACQUELINE N BUCK PH.D.
NPI 1033383062
Psychologist - Clinical in Carbondale, IL

Active since April 22, 2008
3200 FISHBACK RD, CARBONDALE, IL 62901(618) 457-1111(618) 351-1419 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline N Buck Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE N BUCK PH.D. (NPI 1033383062) is an individual clinical provider in Carbondale, Illinois, licensed in Illinois (071.003131) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1033383062
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACQUELINE N BUCKCredential: PH.D.
Location Address3200 FISHBACK RDCarbondale, IL 62901-6307
Mailing Address3200 Fishback RdCarbondale, IL 62901-6307 · (618) 457-1111 · Fax (618) 351-1419
Phone(618) 457-1111
Fax(618) 351-1419
Sole ProprietorYes
Enumeration DateApril 22, 2008
✔ NPI 1033383062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.003131
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3200 FISHBACK RD, Carbondale, IL 62901
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Other Identifiers 1

Other071.003131IL · State License

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY S HEATH
Social Worker (Clinical)
3200 FISHBACK RD
CARBONDALE, IL 62901
Jackson County (618) 457-1111
BURKE BEHAVIORAL HEALTH, LLC
Psychologist (Clinical)
3200 FISHBACK RD
CARBONDALE, IL 62901
Jackson County (618) 527-6144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Buck's NPI number?

The NPI number for Jacqueline Buck is 1033383062. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Jacqueline Buck located?

Jacqueline Buck practices at 3200 Fishback Rd, Carbondale, IL 62901. The listed phone number is (618) 457-1111.

What is Jacqueline Buck's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline Buck was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.