BUCKELEW PROGRAMS (NPI# 1659624815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659624815 |
| Entity Type | Organization |
| Organization Name | BUCKELEW PROGRAMS |
| Practice Address |
3270 Kerner Blvd San Rafael CA 94901-4840 |
| Practice Telephone | 4154569350 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | SHELLEY NORRIS-ALVAREZ (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4154530456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | D6470949 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861666794 | Buckelew Programs | Community Based Residential Treatment Facility, Mental Illness | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2008-04-22 |
| 1619014883 | Buckelew Programs | Clinic/Center | 3000 Bridgeway, Suite 205, Sausalito, CA 94965-1489 | 2007-01-30 |
| 1518012020 | Buckelew Programs | Case Management | 2300 Northpoint Parkway, Santa Rosa, CA 95407 | 2007-01-24 |
| 1972993616 | Buckelew Programs | Community/Behavioral Health | 201 Alameda Del Prado Ste 103, Novato, CA 94949-6698 | 2015-02-03 |
| 1861823262 | Buckelew Programs | Community Based Residential Treatment Facility, Mental Illness | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2013-12-10 |
| 1740537992 | Buckelew Programs | Clinic/Center | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2012-08-07 |
| 1881987154 | Buckelew Programs | Community/Behavioral Health | 900 5th Ave Ste 150, San Rafael, CA 94901-2928 | 2011-05-19 |
| 1619290376 | Buckelew Programs | Community/Behavioral Health | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-03-10 |
| 1497085146 | Buckelew Programs | Case Management | 914 Mission Ave Fl 3, San Rafael, CA 94901-6106 | 2009-12-31 |
| 1922334622 | Buckelew Programs | Community Based Residential Treatment Facility, Mental Illness | 914 Mission Ave, San Rafael, CA 94901-6106 | 2009-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BUCKELEW PROGRAMS | 1401 Los Gamos Dr Ste 240, San Rafael, CA 94903-1835 |
| Street Address |
3270 KERNER BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730108549 | Kristine Y Kwok | Social Worker | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2006-07-19 |
| 1124655014 | Nhan Pham | Case Manager/Care Coordinator | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2020-03-23 |
| 1609409481 | Maggie M Mclain | Marriage & Family Therapist | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2020-02-19 |
| 1588219786 | Scott Casey Berger | Student in an Organized Health Care Education/Training Program | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-08-05 |
| 1215581368 | Kevin Omar Rodriguez | Student in an Organized Health Care Education/Training Program | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-07-26 |
| 1821578196 | Carrie Coats | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901 | 2018-08-16 |
| 1659858405 | Veronica Ponce | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-07-24 |
| 1730613324 | Community Action Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-20 |
| 1619401650 | Sherry Ann Bradley | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-17 |
| 1326581422 | Jose Cesar Leiva | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396826 | Family Matters of Marin | Community/Behavioral Health | 1346 4th St Ste 202, San Rafael, CA 94901-2860 | 2019-09-25 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| 1144687302 | Ritter Center | Community/Behavioral Health | 190 Mill St, Dining Room, San Rafael, CA 94901-4021 | 2016-01-19 |
| 1619362662 | Center Point, Inc. | Community/Behavioral Health | 199 Mill St., San Rafael, CA 94901 | 2015-04-06 |
| 1902204597 | Dba Nancy Freitas Lambert Psyd | Community/Behavioral Health | 1330 Lincoln Ave Ste 102b, San Rafael, CA 94901-2141 | 2014-12-12 |
| 1669878765 | Seneca Family of Agencies | Community/Behavioral Health | 25 W Castlewood Dr, San Rafael, CA 94901-2538 | 2014-11-17 |
| 1396141198 | Seneca Family of Agencies | Community/Behavioral Health | 177 N San Pedro Rd, San Rafael, CA 94903-4200 | 2014-11-06 |
| 1376957373 | Shana Gaviglio Kenney | Community/Behavioral Health | 1665 Grand Ave, San Rafael, CA 94901-2211 | 2014-06-17 |
| 1104256411 | John Hamel & Associates | Community/Behavioral Health | 28 Upper Oak Dr, San Rafael, CA 94903-1732 | 2013-11-22 |
| 1093073876 | Bay Area Community Resources, Inc | Community/Behavioral Health | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2012-04-30 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.