THOMAS J BUCKLES JR. (NPI# 1639357924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639357924 |
| Entity Type | Individual |
| Full Name | THOMAS J BUCKLES JR. |
| Credential | LMHC |
| Practice Address |
2478 George Urban Blvd Depew NY 14043-2010 |
| Practice Telephone | 7162207496 |
| Practice Fax Number | 7169017407 |
| Mailing Telephone | 7162207496 |
| Mailing Fax Number | 7169017407 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
005021 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 203 Laurens St, Olean, NY 147602511 | 7163738080 | 7163738093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811020373 | Thomas Michael Buckles | Counselor | 920 12th St, Modesto, CA 95354-2320 | 2007-03-13 |
| Street Address |
2478 GEORGE URBAN BLVD |
| City | DEPEW |
| State | NY |
| Zip Code | 14043-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376694133 | Sharon M Moran | Social Worker | 2478 George Urban Blvd, Depew, NY 14043 | 2007-01-16 |
| 1851935720 | Meaghan Barone Toft | Social Worker | 2478 George Urban Blvd, Depew, NY 14043-2010 | 2019-11-04 |
| 1386155588 | Katelyn Janelle Cornell | Social Worker | 2478 George Urban Blvd, Depew, NY 14043-2010 | 2017-10-16 |
| 1396292413 | Kelly M Mccall Lcsw, Pllc | Social Worker | 2478 George Urban Blvd, Depew, NY 14043-2010 | 2016-09-07 |
| 1497077275 | Julie Anne Fenn | Social Worker | 2478 George Urban Blvd, Depew, NY 14043-2010 | 2010-02-22 |
| 1770731572 | Kelly Marie Mccall | Social Worker | 2478 George Urban Blvd, Depew, NY 14043-2010 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117016 | Jennifer Wojcik | Specialist | 2049 George Urban Blvd., Depew, NY 14043 | 2019-08-01 |
| 1437628674 | Kelsey Marie Adams | Student in an Organized Health Care Education/Training Program | 171 Kokomo St. Apt 4, Depew, NY 14043 | 2018-11-16 |
| 1316425523 | Katherine Kolarczyk | Occupational Therapist | 2039 George Urban Boulevard, Depew, NY 14043 | 2018-07-31 |
| 1548786387 | Christina Sobieski | Specialist | 458 Dick Rd, Apt. B2, Depew, NY 14043 | 2017-08-14 |
| 1811418825 | Erin Kathleen Paone | Physician Assistant | 6337 Transit Rd, Depew, NY 14043 | 2017-06-29 |
| 1003350349 | Restoration Salon and Spa | Point of Service | 425 French Road, Depew, NY 14043 | 2016-12-06 |
| 1336525104 | Erica Janette Weber | Pharmacist | 236 Zurbrick Rd, Depew, NY 14043 | 2015-08-04 |
| 1205218781 | Ryan Edwin Knolhoff | Physical Therapy Assistant | 44 A Street, Depew, NY 14043 | 2015-06-22 |
| 1609297563 | Christine Lee Bartkowiak | Pharmacist | 4975 Transit Road, Depew, NY 14043 | 2013-12-19 |
| 1336499656 | Jennifer Warrington | Pharmacist | 124 Taylor Road, Depew, NY 14043 | 2012-09-13 |
| Find all providers in zip 14043 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801080791 | Mark Francis Nowak | Counselor | 21 Litchfield Ave, Depew, NY 14043 | 2007-09-04 |
| 1548538903 | Anthony George Nigro Jr. | Counselor | 4711 Transit Rd, Forestream Plaza Suite 3, Depew, NY 14043-4888 | 2011-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
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| 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.