Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bonnie D Lucks, PHD

Individual provider Psychologist · NPI 1609910876

Dr. Bonnie D Lucks, PHD is a Clinical Psychologist in San Diego, California. Qualified in 2004, 22 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6367 Alvarado Ct Ste 200
San Diego, CA 92120-4915
Phone: (619) 069-0777
Fax: (619) 563-4559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 22788 (CA)
Psychologist Taxonomy 103T00000X · Licence PSB 22788 (CA)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence PSY 22788 (CA)

Record details

NPI number1609910876
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 19, 2007
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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