DR. GARY STEPHEN PUCKETT PH.D.
NPI 1801167853
Psychologist - Clinical in Signal Hill, CA

Q: What is Gary Puckett's NPI number?

The NPI number for Gary Puckett is 1801167853. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Q: What is Gary Puckett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Puckett was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 23, 2012

2104 SEA RIDGE DR, SIGNAL HILL, CA 90755(562) 599-0865 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gary Stephen Puckett Ph.d. NPPES

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

DR. GARY STEPHEN PUCKETT PH.D. (NPI 1801167853) is an individual clinical provider in Signal Hill, California, licensed in California (PSY 13517) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1801167853

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. GARY STEPHEN PUCKETTCredential: PH.D.

Location Address2104 SEA RIDGE DRSignal Hill, CA 90755-3779

Mailing Address2104 Sea Ridge DrSignal Hill, CA 90755-3779 · (562) 599-0865

Phone(562) 599-0865

Sole ProprietorNo

Enumeration DateJanuary 23, 2012

✔ NPI 1801167853 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 · PSY 13517

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.

2104 SEA RIDGE DR, Signal Hill, CA 90755

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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 Gary Puckett's NPI number?

The NPI number for Gary Puckett is 1801167853. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Gary Puckett located?

Gary Puckett practices at 2104 Sea Ridge Dr, Signal Hill, CA 90755. The listed phone number is (562) 599-0865.

What is Gary Puckett'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 Gary Puckett was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.