Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730180399 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene T Buckner , PhD

Psychologist • Orem, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugene Buckner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2005
NPI Deactivation Date June 18, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Buckner, PhD was a registered Psychologist practicing in Orem, UT. Throughout an active medical career spanning 13 years, Dr. Buckner provided care at the practice location at 412 W 800 N until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

412 W 800 N

Orem, UT 840573728

Telephone 8012264098
Fax 8012357246
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1699148197

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Orem, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
27 Specialists

Practicing in Orem, UT (447 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License UT 105341-2501

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1366060139

Physical Therapist, Doctor of Physical Therapy

Jean Stanford , PA-C

Physician Assistant - Medical

NPI 1710037213

Physician Assistant (Certified)

NPI 1740503150

Doctor of Psychology (Psy.D.)

Dr. Elizabeth Baker , PhD

Psychologist - Clinical

NPI 1831490598

Doctor of Philosophy (Ph.D.)

NPI 1932957768

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active January 30, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 30, 2009

Registered at 412 W 800 N, OREM, UT 840573728 (Tel: 8012264098)

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Updated Business Mailing Address January 30, 2009

Registered at PO BOX 27688, SALT LAKE CITY, UT 841270688 (Tel: 8015341360)

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Provider Name / Credentials Updated January 30, 2009

Recorded as EUGENE BUCKNER, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2009

Psychologist (License #105341-2501 in UT)

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Initial NPI Registration & Enumeration August 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730180399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2005
Last Update: January 30, 2009
Deactivation Date: June 18, 2018

Mailing Address

Po Box 27688

Salt Lake City, UT 841270688

Phone: 8015341360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.