DR. MATTHEW REED BUCKLEY (NPI# 1659588804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659588804 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW REED BUCKLEY |
| Credential | EDD |
| Practice Address |
Highway 8 Ewing 337 Delta State University Cleveland MS 38733 |
| Mailing Address |
1713 Deering St Cleveland MS 38732-2934 |
| Practice Telephone | 6628464357 |
| Practice Fax Number | 6628464549 |
| Mailing Telephone | 6628431324 |
| Mailing Fax Number | 6628464549 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MSLPC0624 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134574189 | Matthew Buckley | Physical Therapist | 44191 Plymouth Oaks Blvd Ste 800, Plymouth, MI 48170-2538 | 2016-04-27 |
| 1700168556 | Matthew Robinson Buckley | Pharmacist | 320 S Scatterfield Rd, Anderson, IN 46012-3601 | 2011-09-16 |
| Street Address |
HIGHWAY 8 EWING 337 DELTA STATE UNIVERSITY |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083184311 | Abby Havard | Specialist/Technologist | Dsu Box A3, Cleveland, MS 38733 | 2018-11-29 |
| 1457371270 | Robert Hunter Moore | Specialist/Technologist | 1713 Maple St, Cleveland, MS 38733 | 2006-07-21 |
| 1013225663 | Jemecia N. Calvin | Counselor | 1003 W Sunflower Rd, Ewing Hall Room 338-delta State University, Cleveland, MS 38733-0001 | 2010-09-16 |
| 1952321184 | Gerald Stephen Jordan Jr. | Specialist/Technologist | 1417 Maple St, Cleveland, MS 38733-0001 | 2006-07-20 |
| 1700343118 | Kristen Bridgewater | Specialist/Technologist | 1003 W Sunflower Rd, Cleveland, MS 38733-0001 | 2019-02-22 |
| 1730467648 | Delta State University | Clinic/Center | 1003 W Sunflower Rd, Cleveland, MS 38733-0001 | 2011-07-26 |
| 1871936716 | Forever Youthful Adult Educational and Recreational Center | Clinic/Center | 149 East Peeler Ave, Shaw, MS 38733-1053 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1760083794 | Susan Carol Flatt | Behavior Technician | 415 Heritage Hills Cir Ne, Cleveland, TN 37323-5156 | 2020-11-05 |
| 1326649427 | Brooke Iames | Prosthetist | 2182 W 38th St Uppr, Cleveland, OH 44113-3833 | 2020-11-04 |
| 1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1295335800 | Blake Stuckey | Social Worker | 1750 Ansel Rd Apt 511, Cleveland, OH 44106-4103 | 2020-11-01 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1083214886 | Prestige Providers LLC | Home Health | 4500 Lee Rd Ste 232, Cleveland, OH 44128-2961 | 2020-10-30 |
| Find all providers in CLEVELAND | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203246 | Kimberly Fuller, Lisw, LLC | Counselor | 2291 W 38th St, Cleveland, OH 44113-3867 | 2020-10-19 |
| 1255930467 | Jessica Becka LLC | Counselor | 5206 Tillman Ave, Cleveland, OH 44102-2248 | 2020-10-19 |
| 1629675541 | Shayna Mell | Counselor | 4542 Wilburn Dr, Cleveland, OH 44121-3863 | 2020-10-04 |
| 1316552649 | Monisa Ramseur | Counselor | 2800 Euclid Ave Ste 335, Cleveland, OH 44115-2496 | 2020-09-14 |
| 1164031076 | Michele R Princeton | Counselor | 3846 E 65th St, Cleveland, OH 44105-3560 | 2020-07-27 |
| 1700407517 | Cornerstone Behavioral Health LLC | Counselor | 814 E 185th Street, Suite 300, Cleveland, OH 44119 | 2020-05-04 |
| 1811522337 | Mary Cassidy | Counselor | 4128 Lorain Ave, Cleveland, OH 44113-3719 | 2020-03-04 |
| 1285272963 | Theophilus Nikia Williams | Counselor | 3521 W 54th St, Cleveland, OH 44102-5709 | 2019-12-13 |
| 1467098822 | Jordan Community Residential | Counselor | 2231 N Taylor Rd, Cleveland, OH 44112-3044 | 2019-11-20 |
| 1285275529 | Anchor Warrior Center | Counselor | 3505 Adkisson Dr Nw Ste 156, Cleveland, TN 37312-6823 | 2019-10-07 |
| Find all providers in CLEVELAND | ||||
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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.