1. Home
  2. Directory
  3. California
  4. Pasadena
  5. Psychologist
  6. NPI Profile

DR. DEBORAH K BUCKWALTER PH.D.
NPI 1154428241
Psychologist - Clinical in Pasadena, CA

Active since September 20, 2006Opted out of Medicare · through Oct 1, 2026
95 N MARENGO AVE, SUITE 200, PASADENA, CA 91101(626) 644-1454(626) 355-2583 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Deborah K Buckwalter Ph.d. NPPES

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

DR. DEBORAH K BUCKWALTER PH.D. (NPI 1154428241) is an individual clinical provider in Pasadena, California, licensed in California (PSY17676) and active in the NPI registry since September 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154428241
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DEBORAH K BUCKWALTERCredential: PH.D.
Location Address95 N MARENGO AVE, SUITE 200Pasadena, CA 91101-1764
Mailing Address95 N Marengo Ave, Suite 200Pasadena, CA 91101-1764 · (626) 644-1454 · Fax (626) 355-2583
Phone(626) 644-1454
Fax(626) 355-2583
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 19, 2014
✔ NPI 1154428241 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 CA · PSY17676
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.
95 N MARENGO AVE, Pasadena, CA 91101
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedWCP17676ACA · Psychologist

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Deborah K Buckwalter Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

STEPHANY TRITT PT
Physical Therapist
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 776-0075
MISS ANNA MARIE ROSSI M.A./MFT
Marriage & Family Therapist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075
FOOTHILL PHYSICAL THERAPY PC
Physical Therapist (Orthopedic)
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 776-0075
SONIA NIKORE
Marriage & Family Therapist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075
DR. ASHLEE SCOTT REID PHD
Psychologist
95 N MARENGO AVE
PASADENA, CA 91101
Los Angeles County (626) 585-8075
MR. DOUGLAS CRAIG THOMAS LCSW
Social Worker (Clinical)
95 N MARENGO AVE, SUITE 200
PASADENA, CA 91101
Los Angeles County (626) 524-2406
DR. DANIELLE NEDDO PSY.D.
Psychologist
95 N MARENGO AVE, SUITE 100
PASADENA, CA 91101
Los Angeles County (626) 585-8075
DR. LISA CAREN BLUM PSY.D.
Psychologist (Clinical)
95 N MARENGO AVE, SUITE 200
PASADENA, CA 91101
Los Angeles County (323) 633-6138

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 Deborah Buckwalter's NPI number?

The NPI number for Deborah Buckwalter is 1154428241. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Deborah Buckwalter located?

Deborah Buckwalter practices at 95 N Marengo Ave Suite 200, Pasadena, CA 91101. The listed phone number is (626) 644-1454.

What is Deborah Buckwalter's specialty?

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

Is Deborah Buckwalter enrolled in Medicare?

No. Deborah Buckwalter has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Deborah Buckwalter was last updated on May 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.