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DR. ROWAN P BUCKLEY PSYD
NPI 1992145288
Psychologist - Clinical in Loretto, MN

Active since July 01, 2013Opted out of Medicare · through May 15, 2028
6825 OWEN ST STE 201, LORETTO, MN 55357(612) 916-1147 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rowan P Buckley Psyd NPPES

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

DR. ROWAN P BUCKLEY PSYD (NPI 1992145288) is an individual clinical provider in Loretto, Minnesota, licensed in Minnesota (5599) and active in the NPI registry since July 2013. She has opted out of Medicare through May 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992145288
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ROWAN P BUCKLEYCredential: PSYD
Location Address6825 OWEN ST STE 201Loretto, MN 55357-9713
Mailing Address6825 Owen St Ste 201Loretto, MN 55357-9713 · (612) 916-1147
Phone(612) 916-1147
Sole ProprietorYes
Enumeration DateJuly 1, 2013
Last NPPES UpdateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1992145288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · 5599
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 5599 (MN)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 5599 (MN)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 5599 (MN)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 5599 (MN)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 5599 (MN)
6825 OWEN ST STE 201, Loretto, MN 55357
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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. Rowan P Buckley Psyd 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 May 15, 2016 through May 15, 2028.

Opt-Out Effective DateMay 15, 2016
Opt-Out In Effect ThroughMay 15, 2028Opt-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 55357 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Rowan Buckley's NPI number?

The NPI number for Rowan Buckley is 1992145288. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Rowan Buckley located?

Rowan Buckley practices at 6825 Owen St Ste 201, Loretto, MN 55357. The listed phone number is (612) 916-1147.

What is Rowan Buckley's specialty?

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

Is Rowan Buckley enrolled in Medicare?

No. Rowan Buckley has opted out of Medicare through May 15, 2028. 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 Rowan Buckley was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.