BUCKLEY MENTAL HEALTH SERVICES LLC (NPI# 1629680939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629680939 |
| Entity Type | Organization |
| Organization Name | BUCKLEY MENTAL HEALTH SERVICES LLC |
| Practice Address |
132 Mass Moca Way North Adams MA 01247-2446 |
| Mailing Address |
25 Copley Ter Pittsfield MA 01201-6434 |
| Practice Telephone | 4136644600 |
| Mailing Telephone | 4134419921 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | MRS. KELLY M BUCKLEY (PMHNP) |
| Authorized Official Telephone | 4134419921 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
132 MASS MOCA WAY |
| City | NORTH ADAMS |
| State | MA |
| Zip Code | 01247-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255722716 | Carol Vivori | Clinical Nurse Specialist | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2015-02-05 |
| 1669941738 | Kelly Buckley | Counselor | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2018-11-19 |
| 1396257713 | Mieke Kohl | Social Worker | 132 Mass Moca Way, North Adams, MA 01247 | 2017-10-25 |
| 1427575281 | Howland Associates | Social Worker | 132 Mass Moca Way, North Adams, MA 01247 | 2017-08-23 |
| 1699210492 | Ashley P Benson, Licsw | Social Worker | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679125173 | Collaborative Counseling, LLC | Community/Behavioral Health | 131 Mass Moca Way, North Adams, MA 01247 | 2019-07-15 |
| 1669959466 | Ellen Baer | Social Worker | 210 State St Ccb, North Adams, MA 01247 | 2018-07-24 |
| 1477044592 | Heidi A Riello | Social Worker | Mcla Counseling Services, 375 Church Street, North Adams, MA 01247 | 2018-05-24 |
| 1801306949 | Eva Tracy-raeder | Social Worker | 508 State Road, Greylock Works Studio A5, North Adams, MA 01247 | 2017-10-03 |
| 1174993893 | Jordan Rennell | Specialist/Technologist | 132 Barth Street, North Adams, MA 01247 | 2015-10-07 |
| 1376958454 | Allyson Rennell | Specialist/Technologist | 342 Eagle Street, North Adams, MA 01247 | 2014-06-26 |
| 1669747952 | Latasha Marie Turner | Physician Assistant | 71 Hospital Ave Fl 2, North Adams, MA 01247 | 2012-03-20 |
| 1912033432 | Northern Berkshire Voc School | Local Education Agency (LEA) | 70 Hodges Cross Road, North Adams, MA 01247 | 2007-02-26 |
| 1215004213 | Peter D May | Chiropractor | 73 Church Street, North Adams, MA 01247 | 2006-11-29 |
| 1750479176 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | Veterans Memorial Drive Big Y Sc, North Adams, MA 01247 | 2006-10-11 |
| Find all providers in zip 01247 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356513 | Betterment Counseling | Clinic/Center | 556 Centre St Ste A, Middleboro, MA 02346-2162 | 2020-11-04 |
| 1962001651 | Mindful Matters LLC | Clinic/Center | 12 Jarvis Ln, North Attleboro, MA 02760-4313 | 2020-10-22 |
| 1497353130 | Handel Behavioral Health Services | Clinic/Center | 2 Master Dr Ste 1a, Franklin, MA 02038-3052 | 2020-10-14 |
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710597406 | Bridge of Changes | Clinic/Center | 215 Berkshire Ave, Springfield, MA 01109-1638 | 2020-08-06 |
| 1457969297 | Starlight Counseling Services, Inc | Clinic/Center | 50 Elm St Unit D, Southbridge, MA 01550-2648 | 2020-07-17 |
| 1386262053 | 1a Wellness, LLC | Clinic/Center | 225 Main St Ste 4, Wenham, MA 01984-1459 | 2020-07-09 |
| 1528683596 | Aviv, LLC | Clinic/Center | 511 Old Fall River Rd, Dartmouth, MA 02747-1208 | 2020-06-15 |
| 1447872130 | Mindset Social Solutions Inc. | Clinic/Center | 79 Regis Rd Apt 1, Mattapan, MA 02126-1743 | 2020-05-15 |
| 1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ADAMS |
| Zip Code | 01247 |
Please comment or provide details below to improve the information on BUCKLEY MENTAL HEALTH SERVICES LLC.
| 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.