SHANNON MARIE BUCKLEY (NPI# 1205241858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205241858 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE BUCKLEY |
| Credential | CDCA |
| Practice Address |
45 N Canfield Niles Rd Austintown OH 44515-2343 |
| Practice Telephone | (330) 270-2380 |
| Mailing Telephone | (330) 270-2380 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.163020 | OH | Behavioral Health & Social Service Providers |
| N | 374U00000X | Home Health Aide | 401123830710 | OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0080934 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429929 | Shannon Buckley | Specialist/Technologist | 900 Rancho San Diego Pkwy, El Cajon, CA 92019-4369 | 2020-08-29 |
| 1316445745 | Shannon Buckley | Counselor | 342 Egg Harbor Rd Ste B, Sewell, NJ 08080-1856 | 2018-01-31 |
| 1306383492 | Shannon Buckley | Behavioral Analyst | 280 Crossways Park Dr, Woodbury, NY 11797-2015 | 2017-01-26 |
| Street Address |
45 N CANFIELD NILES RD |
| City | AUSTINTOWN |
| State | OH |
| Zip Code | 44515-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887435 | Matthew S Leathers | Physical Therapist | 45 N Canfield Niles Rd, Suite 400, Austintown, OH 44515-2327 | 2005-11-02 |
| 1598250185 | Heidi Rochelle Giesy | Counselor | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2018-06-26 |
| 1629563226 | Jennifer Lynn Poling | Counselor | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2018-06-26 |
| 1750811170 | William Wells Tharp | Licensed Practical Nurse | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2017-06-18 |
| 1518497569 | Renea Waggoner | Licensed Practical Nurse | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2017-06-13 |
| 1629507959 | Marquita Shanell Hall | Registered Nurse | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2017-06-09 |
| 1598147472 | Hobbsey Enterprises, LLC | Family Medicine | 45 N Canfield Niles Rd, Ste 500, Austintown, OH 44515-2343 | 2015-06-26 |
| 1326219353 | Mahoning Valley Hand Therapy | Occupational Therapist | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2008-03-18 |
| 1104947738 | Renee L Harshbarger | Occupational Therapist | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2007-04-02 |
| 1780703363 | Jeff A Fieldhouse | Physical Therapist | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1952948325 | Wanda L Siekkinen, Ms Cdca | Counselor | 1051 N Canfield Niles Rd Ste 108, Austintown, OH 44515-1110 | 2019-12-04 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1821458696 | Darlene J Mrvelj | Counselor | 100 Westchester Dr Ste 1, Austintown, OH 44515-3963 | 2016-03-07 |
| 1326475245 | Sabina Zarlenga | Counselor | 1051 Canfield Niles Rd., Austintown, OH 44515 | 2013-10-09 |
| 1285245001 | Frank A Napolitano | Counselor | 5760 Patriot Blvd, Austintown, OH 44515-1170 | 2020-08-14 |
| 1942823158 | George James Rutherford | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-21 |
| 1851913040 | Natalie Priddy | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-11 |
| 1538781711 | Samuel Naples | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-11 |
| 1295362937 | Jesse E Greathouse | Counselor | 5760 Patriot Blvd, Austintown, OH 44515-1170 | 2020-03-24 |
| Find all providers in AUSTINTOWN | ||||
| City | AUSTINTOWN |
| Zip Code | 44515 |
Please comment or provide details below to improve the information on SHANNON MARIE BUCKLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.