Gavin Buck v. Nancy Berryhill , 869 F.3d 1040 ( 2017 )


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  •                      FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    GAVIN LEE BUCK,                                No. 14-35976
    Plaintiff-Appellant,
    DC No.
    v.                        2:13-cv-02283-JCC
    NANCY A. BERRYHILL, Acting
    Commissioner Social Security,                     OPINION
    Defendant-Appellee.
    Appeal from the United States District Court
    for the Western District of Washington
    John C. Coughenour, Senior District Judge, Presiding
    Argued and Submitted July 10, 2017
    Seattle, Washington
    Filed September 5, 2017
    Before: A. Wallace Tashima and Jacqueline H. Nguyen,
    Circuit Judges, and Donald E. Walter,* District Judge.
    Opinion by Judge Tashima
    *
    The Honorable Donald E. Walter, United States District Judge for
    the Western District of Louisiana, sitting by designation.
    2                       BUCK V. BERRYHILL
    SUMMARY**
    Social Security
    The panel reversed the district court’s judgment
    affirming the Commissioner of Social Security’s denial of
    claimant’s applications for Disability Insurance Benefits and
    Supplemental Security Income under the Social Security Act,
    and remanded for further administrative proceedings.
    The panel rejected claimant’s contentions that the
    administrative law judge (“ALJ”) erred at step two of the
    five-step sequential analysis by not adequately incorporating
    all severe impairments into the determination of claimant’s
    residual functional capacity, and by calling his antisocial
    personality disorder merely a “personality disorder” without
    qualification. The panel held that step two is merely a
    threshold determination meant to screen out weak claims, and
    was not meant to identify the impairments that should be
    taken into account when determining the residual functional
    capacity. The panel further held that step two was decided in
    claimant’s favor, and he could not possibly have been
    prejudiced, and any alleged error was therefore harmless.
    Concerning the rejection of Dr. Kenderdine’s opinion,
    which involved a psychiatric evaluation, the panel held that
    in the context of this case, Dr. Kenderdine’s partial reliance
    on claimant’s self-reported symptoms was not a valid reason
    to reject his opinion. The panel also held that the ALJ’s use
    of the opinion of a non-examining medical expert (which was
    **
    This summary constitutes no part of the opinion of the court. It has
    been prepared by court staff for the convenience of the reader.
    BUCK V. BERRYHILL                       3
    rejected by the opinion of another non-examining physician)
    to reject Dr. Kenderdine’s opinion was not a valid basis for
    rejecting Dr. Kenderdine’s opinion.
    The panel held that the law of the case doctrine did not
    preclude this court from considering claimant’s arguments
    regarding the ALJ’s treatment of the opinions of Drs.
    Schechter and Fisher – where the district court, in a prior
    appeal, affirmed the ALJ’s treatment of those opinions and
    remanded for a second hearing before the ALJ – because the
    law of the case doctrine applies only to decisions by the same
    or a higher court. The panel held that the ALJ did not err in
    rejecting the opinion of Dr. Schechter where there was a
    discrepancy between the physician’s opinion and the
    physician’s own notes. The panel also held that the ALJ
    correctly interpreted Dr. Fisher’s opinion, which was
    submitted on a form, by relying solely on the third section of
    the form where the physician wrote his narrative opinion.
    The panel held that the vast discrepancy between the
    vocational expert’s testimony concerning job numbers and
    those tendered by the claimant was too striking, and
    concluded that the inconsistency in the record must be
    addressed by the ALJ on remand.
    COUNSEL
    Charles W. Talbot (argued), Tacoma, Washington, for
    Plaintiff-Appellant.
    Jeffrey Raymond McClain (argued), Assistant Regional
    Counsel; David Morado, Regional Chief Counsel, Seattle
    Region X; Kerry Jane Keefe, Assistant United States
    4                       BUCK V. BERRYHILL
    Attorney; Annette L. Hayes, United States Attorney; Office
    of the General Counsel, Social Security Administration,
    Seattle, Washington; for Defendant-Appellee.
    OPINION
    TASHIMA, Circuit Judge:
    Gavin Buck (“Buck”) appeals the district court’s
    judgment affirming the denial of Social Security Disability
    Insurance (“SSDI”) and Supplemental Security Income
    (“SSI”) benefits. Buck is diagnosed with several mental
    illnesses, including bipolar disorder, antisocial personality
    disorder, and attention deficit hyperactivity disorder
    (“ADHD”). We have jurisdiction under 
    28 U.S.C. § 1291
    and we reverse and remand for further administrative
    proceedings.
    I. FACTUAL BACKGROUND
    Buck was born in 1977. He has worked in the past as,
    among other things, a stores laborer, construction laborer, and
    tire changer. The longest he was ever employed was
    17 months, working for Pioneer Human Services as a
    shipping and receiving worker.1 Buck attributes his failure to
    keep a job to his mental illnesses, which cause him to miss a
    lot of work. He also has trouble concentrating and tends to
    get nervous around people and lash out at them.
    1
    Pioneer Human Services is a company that hires people re-
    entering society from prison or jail or who are battling drug
    addictions. See Job Listings, P IONEER H UMAN S ERVICES ,
    http://pioneerhumanservices.org/about/career (last visited July 31, 2017).
    BUCK V. BERRYHILL                        5
    The medical record in this case begins with an
    examination by Dr. Shawn Kenderdine, Ph.D., on May 19,
    2008. Dr. Kenderdine performed his examination on behalf
    of the Washington Department of Social and Health Services
    (“DSHS”). Dr. Kenderdine performed both a clinical
    interview and a mental status evaluation. Buck’s results
    indicated that his learning would be impaired to some degree.
    Dr. Kenderdine diagnosed Buck with ADHD,
    methamphetamine dependence in remission, major depressive
    disorder, and antisocial personality disorder. He assessed
    limitations in Buck’s ability to exercise judgment and make
    decisions, to relate appropriately to co-workers and
    supervisors, to respond appropriately to and tolerate the
    pressures of a work setting, to control physical or motor
    movements, and to maintain appropriate behavior. In
    addition to his clinical observations, Dr. Kenderdine also
    noted that Buck “reported attendance problems and poor
    attention as interfering with his ability to sustain or maintain
    work.”
    Starting in July 2008, Buck received treatment from
    Valley Cities Counseling and Consultation (“Valley Cities”).
    A mental status examination by Valley Cities found that Buck
    had an anxious affect, impaired concentration, poor impulse
    control, and poor insight into his problems.
    Buck filed applications for SSDI and SSI benefits on
    September 17, 2008, with an alleged onset date of March 1,
    2008.
    On November 13, 2008, Buck was examined by Dr.
    Allison Schechter, Psy.D., at the request of the Social
    Security Administration (“SSA”). Dr. Schechter reviewed
    Dr. Kenderdine’s report, a psychiatric evaluation done at
    6                   BUCK V. BERRYHILL
    Valley Cities, and Valley Cities’ treatment notes. She also
    conducted an interview and a mental status evaluation. Dr.
    Schechter diagnosed Buck with ADHD (combined type,
    childhood onset), bipolar disordar (not otherwise specified),
    adult antisocial behavior, and methamphetamine and
    marijuana dependence (in remission per history). She
    assigned a Global Adult Functioning (“GAF”) score of 60.
    Functionally, Dr. Schechter opined that Buck might have
    difficulty performing both simple and repetitive tasks, as well
    as detailed and complex tasks. In addition, Buck would
    easily become irritated and act out inappropriately when
    irritable. Overall, Buck’s disorders would interfere with his
    ability to work consistently and on a regular schedule.
    In December 2008, Dr. Alex Fisher, Ph.D., performed a
    psychiatric review of Buck’s file for the SSA. He diagnosed
    Buck with ADHD and bipolar disorder. He determined that
    Buck was only moderately functionally limited. Dr. Fisher’s
    results were affirmed by Dr. Mary Gentile, Ph.D.
    This case has been heard by an Administrative Law Judge
    (“ALJ”) twice. The first hearing was in September 2009. At
    that hearing, Dr. Arthur Lewy, Ph.D., testified as a medical
    expert. Dr. Lewy opined that Buck has only mild limitations
    in daily living and social function, and moderate limitations
    in concentration, persistence, and pace, and concluded that
    Buck could do simple, repetitive work. Dr. Lewy further
    opined that the Schechter report was not reliable because Dr.
    Schechter frequently qualified her conclusions with the word
    “may.” In addition, he noted discrepancies between Dr.
    Schechter’s notes and her conclusions. For example, she
    assessed a GAF score of 60, which implies only moderate
    symptoms, but her conclusions indicated severe symptoms.
    BUCK V. BERRYHILL                       7
    The ALJ denied Buck’s claims for benefits. This denial
    was eventually appealed to the district court, which remanded
    the case to the ALJ. One of the reasons for the remand was
    that the ALJ improperly rejected Dr. Kenderdine’s opinion.
    On April 30, 2009, Richard Hockett B.A. (“Hockett”)
    performed an assessment of Buck at the request of the DSHS.
    He diagnosed Buck with bipolar I disorder and ADHD. He
    assessed marked functional limitations in ability to remember
    and follow simple or complex instructions, in the ability to
    exercise judgment and make decisions and to perform routine
    tasks. He also noted a moderate limitation on the ability to
    learn new tasks. Hockett wrote that Buck was severely
    impaired socially, unable to respond appropriately to and
    tolerate the pressures and expectations of a normal work
    setting, and markedly limited in the ability to relate
    appropriately to co-workers, supervisors, and the public.
    Buck did not obtain treatment between 2009 and 2011.
    When he went for treatment at Valley Cities in March 2011,
    he reported increased anxiety and depression.
    Buck went to prison at some point after April 24, 2012.
    He was shot in the legs by police while fleeing arrest. The
    ALJ considered Buck’s eligibility for benefits both before and
    after he sustained these gunshot wounds.
    On remand, Buck had a second hearing before the same
    ALJ. Dr. Jay Toews, Ph.D., testified as a medical expert at
    this hearing. Dr. Toews testified that Buck would be capable
    of remembering and understanding simple instructions,
    carrying out routine tasks, and could tolerate incidental
    contact with others. He also testified that Dr. Kenderdine’s
    opinion was unreliable because the Beck depression index
    8                   BUCK V. BERRYHILL
    used by Dr. Kenderdine produces exaggerated scores at the
    high end of the scale. Specifically, Buck had a Beck
    depression score of 41, and Dr. Toews testified that scores
    over 30 are “exaggerations of true scores.” After the ALJ had
    already issued his ruling, Buck submitted an additional sworn
    declaration by Dr. Brett T. Copeland, Psy.D., stating that
    there is no support for Dr. Toews’ testimony that Beck scores
    are exaggerated.
    Vocational expert (“VE”) Jerie Longacre also testified at
    Buck’s second hearing. She was asked to consider a
    hypothetical individual who was capable of work at all
    exertional levels; who could understand, remember, and carry
    out simple instructions; who could carry out routine tasks;
    who could tolerate incidental contact with others in a work
    place; and who would have problems with frequent changes
    in work requirements. These limitations correspond to the
    residual functional capacity (“RFC”) that the ALJ assessed.
    The VE testified that someone with Buck’s limitations would
    be able to perform Buck’s past work as a stores laborer, tire
    changer, construction laborer, or shipping and receiving
    worker.
    The VE also testified that after his gunshot wounds, Buck
    could work in computer assembly, as a bottling line attendant,
    a bottle packer, or as a conveyor-belt maker. The ALJ posed
    a third hypothetical, in which the individual would be limited
    to sedentary work. The VE responded that such an individual
    could work as a surveillance systems monitor, document
    preparer, or food and beverage order clerk.
    The VE testified that the occupations of bottling line
    attendant, bottle packer, and conveyor belt maker had
    national job numbers of 600,000, 8,800, and 235,000,
    BUCK V. BERRYHILL                       9
    respectively, and Washington state job numbers of 16,000,
    200, and 4,400, respectively. Buck’s attorneys, allegedly
    using the same software program as the VE, determined that
    there are only 231 positions nationally as a bottling line
    attendant, with six in Washington; 2,039 positions nationally
    as a bottle packer, with 51 in Washington; and 26 positions
    nationally as a conveyor belt maker, with none in
    Washington. The ALJ curtailed Buck’s cross-examination of
    the VE on the issue of job numbers, promising Buck that he
    would be able to make a post-hearing submission. In the end,
    however, the ALJ did not address Buck’s submission.
    The ALJ issued his decision denying Buck benefits on
    May 17, 2013. Applying the five-step sequential analysis
    used in disability claims, the ALJ first found that Buck had
    not engaged in substantial gainful activity since his alleged
    onset date of March 1, 2008. At step two, he found that Buck
    suffered from five severe impairments: ADHD, bipolar
    disorder, personality disorder, marijuana dependence (in
    remission), and methamphetamine dependence (in remission).
    As of April 24, 2012, Buck also had the severe impairment of
    status post gunshot wounds in both lower extremities with
    fractures in the left leg. At step three, the ALJ found that
    Buck’s impairments do not meet or equal a listed impairment.
    In assessing Buck’s RFC, the ALJ found Buck’s own
    testimony to be not credible. He noted that Buck had made
    inconsistent statements regarding his work history, education,
    and substance abuse and that he had a significant criminal
    history, including crimes of dishonesty.
    The ALJ found that before he was shot, Buck had the
    RFC to perform work at all exertional levels, with the ability
    to understand, remember, and carry out simple instructions
    10                   BUCK V. BERRYHILL
    and routine tasks, and the ability to tolerate incidental contact
    with others in the workplace. Buck would have problems,
    however, with frequent changes in work environments. After
    he was shot, Buck’s RFC would have the same non-exertional
    limitations as before, but he would additionally be limited to
    light work.
    At step four, the ALJ found that prior to being shot, Buck
    could perform his past relevant work as a stores laborer, tire
    changer, and construction laborer. At step five, the ALJ
    found that after being shot Buck could work as a bottling line
    attendant, bottle packer, conveyor-belt maker, surveillance
    systems monitor, document preparer, and food and beverage
    order clerk, just as the VE had testified. Buck was therefore
    found not disabled.
    Buck appealed to the Appeals Council, which denied his
    request for review. He then appealed to the district court.
    The magistrate judge issued a Report and Recommendation
    affirming the ALJ’s decision. The district judge adopted the
    magistrate judge’s Report and Recommendation. Buck
    timely appealed.
    II. STANDARD OF REVIEW
    This Court reviews the district court’s judgment affirming
    an ALJ’s denial of Social Security benefits de novo. Molina
    v. Astrue, 
    674 F.3d 1104
    , 1110 (9th Cir. 2012). This Court
    should reverse only if the ALJ’s decision was not supported
    by substantial evidence in the record as a whole or if the ALJ
    applied the wrong legal standard. 
    Id.
     The Court may not
    reverse an ALJ’s decision on account of a harmless error. 
    Id. at 1111
    .
    BUCK V. BERRYHILL                     11
    III. STEP TWO ANALYSIS
    Disability claims are evaluated using a five-step
    sequential analysis:
    In step one, the ALJ determines whether a
    claimant is currently engaged in substantial
    gainful activity. If so, the claimant is not
    disabled. If not, the ALJ proceeds to step two
    and evaluates whether the claimant has a
    medically severe impairment or combination
    of impairments. If not, the claimant is not
    disabled. If so, the ALJ proceeds to step three
    and considers whether the impairment or
    combination of impairments meets or equals
    a listed impairment under 20 C.F.R. pt. 404,
    subpt. P, App. 1. If so, the claimant is
    automatically presumed disabled. If not, the
    ALJ proceeds to step four and assesses
    whether the claimant is capable of performing
    her past relevant work. If so, the claimant is
    not disabled. If not, the ALJ proceeds to step
    five and examines whether the claimant has
    the [RFC] to perform any other substantial
    gainful activity in the national economy. If
    so, the claimant is not disabled. If not, the
    claimant is disabled.
    Burch v. Barnhart, 
    400 F.3d 676
    , 679 (9th Cir. 2005).
    Buck contends that the ALJ made two errors at step two
    of this analysis. First, he contends that the ALJ did not
    adequately incorporate all severe impairments into the
    determination of Buck’s RFC. Second, he contends that the
    12                  BUCK V. BERRYHILL
    ALJ erred by calling his antisocial personality disorder
    merely a “personality disorder,” without qualification.
    Neither contention has merit.
    At the first hearing on Buck’s claim, the ALJ found only
    two severe disabilities: ADHD and bipolar disorder. After
    the first hearing, under the RFC determined by the ALJ, Buck
    could perform a full range of work at all exertional levels; he
    was capable of understanding and remembering simple
    instructions and capable of carrying out routine tasks in a
    reliable manner, that he had the ability to tolerate incidental
    contact with others while at work; and he would have
    problems coping with stress involved in frequent changes.
    After the second hearing, the ALJ found three new severe
    impairments at step two: personality disorder, marijuana
    addiction (in remission), and methamphetamine addiction (in
    remission). Buck argues that the addition of new severe
    impairments should have altered the RFC. However, aside
    from some changes in wording, the RFC determined after the
    second hearing was the same as after the first.
    Buck misunderstands the purpose of step two in the
    analysis. Step two is merely a threshold determination meant
    to screen out weak claims. Bowen v. Yuckert, 
    482 U.S. 137
    ,
    146–47 (1987). It is not meant to identify the impairments
    that should be taken into account when determining the RFC.
    In fact, “[i]n assessing RFC, the adjudicator must consider
    limitations and restrictions imposed by all of an individual’s
    impairments, even those that are not ‘severe.’” Titles II &
    XVI: Assessing Residual Functional Capacity in Initial
    Claims, Social Security Ruling (“SSR”) 96-8p, 
    1996 WL 374184
    , at *5 (S.S.A. July 2, 1996). The RFC therefore
    should be exactly the same regardless of whether certain
    BUCK V. BERRYHILL                     13
    impairments are considered “severe” or not. Here, all
    impairments were taken into account both times.
    Moreover, step two was decided in Buck’s favor after
    both hearings. He could not possibly have been prejudiced.
    Any alleged error is therefore harmless and cannot be the
    basis for a remand. Molina, 
    674 F.3d at 1115
    .
    Buck also makes much of the fact that the ALJ identified
    his antisocial personality disorder as merely a “personality
    disorder,” without the qualification “antisocial.” This
    argument is unpersuasive. There is no indication that the ALJ
    misunderstood the nature of Buck’s impairments. Absent
    other evidence, using the shorthand “personality disorder”
    does not indicate any error in the ALJ’s determination of
    Buck’s RFC or any other part of the analysis. Any alleged
    “error” is therefore harmless. 
    Id.
    IV. THE KENDERDINE OPINION
    Buck argues that Dr. Kenderdine’s partial reliance on
    Buck’s self-reported symptoms was not a valid reason for the
    ALJ to reject his opinion. He also argues that the ALJ erred
    in relying on the opinion of Dr. Toews, a nonexamining
    medical expert, in rejecting Dr. Kenderdine’s opinion.
    A. Self-Reports in Psychiatric Evaluations
    “A physician’s opinion of disability premised to a large
    extent upon the claimant’s own accounts of his symptoms and
    limitations may be disregarded where those complaints have
    been properly discounted.” Morgan v. Comm’r of Soc. Sec.
    Admin., 
    169 F.3d 595
    , 602 (9th Cir. 1999) (internal quotation
    marks and citation omitted).
    14                   BUCK V. BERRYHILL
    Dr. Kenderdine’s opinion was based in part on Buck’s
    self-report that he had trouble keeping a job. However, Dr.
    Kenderdine also conducted a clinical interview and a mental
    status evaluation. These are objective measures and cannot
    be discounted as a “self-report.”
    Moreover, as two other circuits have acknowledged,
    “[t]he report of a psychiatrist should not be rejected simply
    because of the relative imprecision of the psychiatric
    methodology . . . .” Blankenship v. Bowen, 
    874 F.2d 1116
    ,
    1121 (6th Cir. 1989) (quoting Poulin v. Bowen, 
    817 F.2d 865
    ,
    873–74 (D.C. Cir. 1987)). Psychiatric evaluations may
    appear subjective, especially compared to evaluation in other
    medical fields. Diagnoses will always depend in part on the
    patient’s self-report, as well as on the clinician’s observations
    of the patient. But such is the nature of psychiatry. See
    Poulin, 
    817 F.2d at 873
     (“[U]nlike a broken arm, a mind
    cannot be x-rayed.”).Thus, the rule allowing an ALJ to reject
    opinions based on self-reports does not apply in the same
    manner to opinions regarding mental illness. In the context
    of this case, Dr. Kenderdine’s partial reliance on Buck’s self-
    reported symptoms is thus not a reason to reject his opinion.
    B. Conflicts Between Examining and Nonexaming
    Medical Opinions
    “The opinion of an examining physician is . . . entitled to
    greater weight than the opinion of a nonexamining physician.
    Lester v. Chater, 
    81 F.3d 821
    , 830 (9th Cir. 1995), as
    amended April 9, 1996. If the opinion of an examining
    physician is contradicted by the opinion of another doctor, it
    may nevertheless be rejected only “for specific and legitimate
    reasons that are supported by substantial evidence in the
    record.” 
    Id.
     at 830–31. “The opinion of a nonexamining
    BUCK V. BERRYHILL                       15
    physician cannot by itself constitute substantial evidence that
    justifies the rejection of the opinion [of] an examining
    physician . . . .” 
    Id. at 831
    . Thus, the opinion of Dr. Toews,
    a nonexamining medical expert, is not substantial evidence
    permitting the rejection of Dr. Kenderdine’s opinion.
    Further, Dr. Toews’ opinion is itself contradicted by the
    opinion of another nonexamining physician, Dr. Copeland.
    Dr. Copeland concluded that the Beck inventory does not
    produce exaggerated results and that there is no professional
    support for Dr. Toews’ opinion. This conflict in the record
    corroborates the rejection of Dr. Toews’ testimony as a basis
    for rejecting Dr. Kenderdine’s opinion.
    V. SCHECHTER AND FISHER OPINIONS
    Buck argues that the opinion of Dr. Schechter was
    improperly rejected by the ALJ. He also argues that the ALJ
    should have considered “section I” of the form used by Dr.
    Fisher in his opinion. The Commissioner argues that both of
    these issues are precluded by law of the case.
    A. Law of the Case
    Under the law of the case doctrine, “a court is generally
    precluded from reconsidering an issue that has already been
    decided by the same court, or a higher court in the identical
    case.” Thomas v. Bible, 
    983 F.2d 152
    , 154 (9th Cir. 1993).
    This case was previously appealed to the district court, where
    it was remanded for a second hearing before the ALJ. In that
    decision, the district court affirmed the ALJ’s treatment of the
    opinions of Drs. Schechter and Fisher. That affirmance was
    not appealed. The Commissioner apparently believes that
    this Court should be bound by that district court ruling. The
    16                  BUCK V. BERRYHILL
    law of the case applies, however, only to decisions by the
    same or a higher court. While it was appropriate for the
    district court below to affirm based on law of the case, this
    Court is not bound to do the same. We therefore assess the
    ALJ’s treatment of the Schechter and Fisher opinions on the
    merits.
    B. Schechter Opinion
    A physician’s opinion can be discredited based on
    contradictions between the opinion and the physician’s own
    notes. Bayliss v. Barnhart, 
    427 F.3d 1211
    , 1216 (9th Cir.
    2005). Dr. Schechter’s notes indicate much less severe
    symptoms than her opinion. For example, she gave Buck a
    GAF score of 60, which indicates only moderate symptoms.
    By contrast, her opinion describes severe symptoms, such as
    screaming and breaking things for days straight. In light of
    this discrepancy, the ALJ did not err in rejecting Dr.
    Schechter’s opinion.
    C. Fisher Opinion
    Dr. Fisher’s opinion was submitted on a form, the first
    section of which is a checklist of symptoms. The third
    section of the form is where the physician writes the narrative
    opinion. Buck complains that the ALJ only considered the
    third section of the form and ignored the first section. His
    argument lacks merit.
    Although not binding law, the Social Security
    Administration’s Program Operations Manual System
    (“POMS”) is persuasive authority. Warre v. Comm’r of Soc.
    Sec. Admin, 
    439 F.3d 1001
    , 1005 (9th Cir. 2006). POMS
    BUCK V. BERRYHILL                        17
    contains a section explaining the form used by Dr. Fisher. It
    states:
    The purpose of section I (“Summary
    Conclusion”) on the SSA-4734-F-SUP is
    chiefly to have a worksheet to ensure that the
    psychiatrist or psychologist has considered
    each of these pertinent mental activities . . . .
    It is the narrative written by the psychiatrist or
    psychologist in section III (“Functional
    Capacity Assessment”) of form SSA-4734-
    F4-SUP that adjudicators are to use as the
    assessment of RFC.
    POMS DI 25020.010(B)(1), available at
    https://secure.ssa.gov/poms.nsf/lnx/0425020010 (last visited
    July 12, 2017). The ALJ thus correctly interpreted the form
    by relying solely on the third section, rather than the first.
    VI. VE TESTIMONY
    A. Jobs with Reasoning Level 3
    Buck argues, and the Commissioner concedes, that three
    of the jobs identified by the VE should have been excluded
    for having a Reasoning Level of 3.
    The VE testified that Buck could do the jobs of
    surveillance systems monitor, document preparer, and food
    and beverage order clerk. These three positions all have a
    Reasoning Level of 3 in the Dictionary of Occupational
    Titles. However, Buck’s RFC limits him to simple
    instructions and routine tasks. We recently held that a
    limitation to simple, routine, or repetitive work is inconsistent
    18                      BUCK V. BERRYHILL
    with Reasoning Level 3. Zavalin v. Colvin, 
    778 F.3d 842
    ,
    846–48 (9th Cir. 2015). In light of Buck’s RFC, Buck is not
    capable of doing the three identified jobs, and they should not
    have been relied on by the ALJ. Nonetheless, this error may
    be harmless because the VE identified other jobs that Buck
    could do, namely those of bottling line attendant, bottle
    packer, and conveyor-belt maker.2 See Molina, 
    674 F.3d at 1115
    .
    B. Available Job Numbers
    “An ALJ may take administrative notice of any reliable
    job information, including information provided by a VE.”
    Bayliss, 
    427 F.3d at 1218
    . “A VE’s recognized expertise
    provides the necessary foundation for his or her testimony.
    Thus, no additional foundation is required.” 
    Id.
    Buck erroneously reads the above language from Bayliss
    to require that the ALJ independently assess the reliability of
    VE testimony. However, as is clear from the language of
    Bayliss, at least in the absence of any contrary evidence, a
    VE’s testimony is one type of job information that is regarded
    as inherently reliable; thus, there is no need for an ALJ to
    assess its reliability.
    Notwithstanding the foregoing, VE testimony is not
    incontestable. For example, our precedent establishes that
    when VE testimony conflicts with the Dictionary of
    2
    The evidence supporting the prevalence of these jobs in the national
    and regional economy is discussed in the immediately following section.
    If there are not sufficient numbers of these jobs, this error would not be
    harmless.
    BUCK V. BERRYHILL                             19
    Occupational Titles,3 the ALJ must “determine whether the
    vocational expert’s explanation for the conflict is reasonable
    and whether a basis exists for relying on the expert rather
    than the Dictionary of Occupational Titles.” Massachi,
    486 F.3d at 1153; see also SSR 00-4p, 
    2000 WL 1898704
    , at
    *2 (S.S.A. Dec. 4, 2000) (“Occupational evidence provided
    by a VE or VS generally should be consistent with the
    occupational information supplied by the [Dictionary of
    Occupational Titles]. . . . At the hearings level, as part of the
    adjudicator’s duty to fully develop the record, the adjudicator
    will inquire, on the record, as to whether or not there is such
    consistency.”). Likewise, when the VE’s testimony on job
    numbers conflicts with the Medical-Vocational Guidelines
    (“Grids”)4, the ALJ must “clarif[y] and develop[] the record.”
    Swenson v. Sullivan, 
    876 F.2d 683
    , 689 (9th Cir. 1989). In
    this case, the vast discrepancy between the VE’s job numbers
    and those tendered by Buck, presumably from the same
    source, is simply too striking to be ignored. See supra at 8–9.
    This inconsistency in the record must be addressed by the
    ALJ on remand.5
    3
    “In making disability determinations, the Social Security
    Administration relies primarily on the Dictionary of Occupational Titles
    for information about the requirements of work in the national economy.”
    Massachi v. Astrue, 
    486 F.3d 1149
    , 1153 (9th Cir. 2007).
    4
    The Social Security Administration frequently uses Grids as a
    framework for the step five determination. POMS DI 25025.005,
    available at https://secure.ssa.gov/apps10/poms.NSF/lnx/0425025005 (last
    visited July 12, 2017).
    5
    Our recent opinion in Shaibi v. Berryhill, No. 15-16849, 
    2017 WL 3598085
    , at *6 (9th Cir. Aug. 22, 2017), holding that “when a claimant
    fails entirely to challenge a vocational expert’s job numbers during
    administrative proceedings before the agency, the claimant waives such
    a challenge on appeal,” does not apply to this case because Buck’s
    20                   BUCK V. BERRYHILL
    VII. CONCLUSION
    For the foregoing reasons, the judgment of the district
    court is reversed and the action is remanded to the district
    court with directions to further remand to the Commissioner
    for further proceedings consistent with this opinion.
    REVERSED and REMANDED with directions.
    challenge to the VE’s job numbers was made “during administrative
    proceedings.”