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TINA LOUISE BUCKNER PSY.D.
NPI 1598867079
Counselor - Mental Health in San Diego, CA

Active since September 03, 2006PECOS EnrolledAccepts Medicare Assignment
5959 MISSION GORGE RD STE 106, SAN DIEGO, CA 92120(619) 574-0924(619) 337-2779 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Louise Buckner Psy.d. NPPES

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

TINA LOUISE BUCKNER PSY.D. (NPI 1598867079) is an individual mental health provider in San Diego, California, licensed in California (PSY16874) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1598867079
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA LOUISE BUCKNERCredential: PSY.D.
Location Address5959 MISSION GORGE RD STE 106San Diego, CA 92120-4019
Mailing Address5959 Mission Gorge Rd Ste 106San Diego, CA 92120-4019 · (619) 574-0924 · Fax (619) 337-2779
Phone(619) 574-0924
Fax(619) 337-2779
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 3, 2006
Last NPPES UpdateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
✔ NPI 1598867079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · PSY16874
5959 MISSION GORGE RD STE 106, San Diego, CA 92120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina Louise Buckner Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325231301
PECOS Enrollment IDI20101022000386
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

KAREN L MARSHALL LCSW
Social Worker (Clinical)
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
San Diego County (619) 405-1119
ALDERMAN AND MARSHALL INC.
Social Worker (Clinical)
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
San Diego County (619) 260-1357
MS. MELISSA ANDREA ALLMAN PSY.D.
Psychologist (Clinical)
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
San Diego County (858) 361-1580
SAM NICOLE ENCARNACION MENDOZA I CMT, B.S.KIN
Massage Therapist
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
San Diego County (619) 754-4809
MICHAEL LEE SAUNDERS
Massage Therapist
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
San Diego County (619) 764-2987

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 Tina Buckner's NPI number?

The NPI number for Tina Buckner is 1598867079. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Where is Tina Buckner located?

Tina Buckner practices at 5959 Mission Gorge Rd Ste 106, San Diego, CA 92120. The listed phone number is (619) 574-0924.

What is Tina Buckner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tina Buckner enrolled in Medicare?

Yes. Tina Buckner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tina Buckner accept?

Health plans from Providence Health Plan list Tina Buckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Buckner was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.