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

Judy Bruckner, PHD

Individual provider Counseling Psychologist · NPI 1104924620

Judy Bruckner, PHD is a Clinical Psychologist in Watkinsville, Georgia. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
30
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1551 Jennings Mill Rd Unit 2000B
Watkinsville, GA 30677-7252
Phone: (706) 316-9095
Fax: (706) 353-8948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2174 (GA)
Counseling Psychologist Taxonomy 103TC1900X · Licence 2174 (GA)

Record details

NPI number1104924620
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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