P Praxis·MD
● Active Type 1 · Individual

Judy Bruckner, PH.D.

Psychologist·Watkinsville, GA· NPI 1104924620 · Enumerated 2006 · 19 years on NPI
Bruckner is 1 of 7 psychologist providers in Watkinsville and 1 of 1114 in Georgia.
NPI age
19 years
Enumerated 2006-09-20
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1114 active psychologist providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
1551 Jennings Mill Rd Unit 2000b
Watkinsville, GA 306777252
📞 7063169095fax 7063538948
Mailing address
1551 Jennings Mill Rd Unit 2000b
Watkinsville, GA 306777252
📞 7063169095fax 7063538948

Specialties

  • Psychologist Primary
    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,...
    GA license #2174 taxonomy 103T00000X
  • Psychologist
    A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and...
    GA license #2174 taxonomy 103TC1900X

Identifiers

TypeValueNotes
01 (GA) 582430452 BLUE CROSS BLUE SHIELD GA

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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