MRS. KELLY BUCKLEY (NPI# 1669941738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669941738 |
| Entity Type | Individual |
| Full Name | MRS. KELLY BUCKLEY |
| Credential | NP |
| Practice Address |
132 Mass Moca Way North Adams MA 01247-2446 |
| Practice Telephone | 4136644600 |
| Mailing Telephone | 4136644600 |
| Mailing Fax Number | 4136644660 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN270478 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 359 Fenn St, Pittsfield, MA 012015261 | 4134990412 | 4134482198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603830 | Kelly Marie Buckley | Counselor | 5939 Hilgard Pl, Saint Louis, MO 63109-3445 | 2020-06-15 |
| 1497191464 | Kelly Buckley | Physician Assistant | 8111 S Homesteader Dr, Morrison, CO 80465-2816 | 2013-05-17 |
| 1770094286 | Kelly Ann Buckley | Counselor | 14572 Us Highway 23, Waverly, OH 45690-9373 | 2017-10-24 |
| 1982901484 | Kelly E Buckley | Registered Nurse | 175 W 79th St, Ape # 3e, New York, NY 10024-6450 | 2011-02-17 |
| 1972629012 | Kelly Buckley | Chiropractor | 755 Pulaski Rd, Greenlawn, NY 11740-1710 | 2007-03-21 |
| 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 |
| 1629680939 | Buckley Mental Health Services LLC | Clinic/Center | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2020-08-18 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827738 | Lorraine Cecile Martin-mcnulty | Nurse Practitioner | 87 Marshall St, North Adams, MA 01247-2402 | 2020-06-29 |
| 1013499342 | Jacqueline Truex-greenslet | Nurse Practitioner | 124 American Legion Dr, North Adams, MA 01247-3942 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ADAMS |
| Zip Code | 01247 |
Please comment or provide details below to improve the information on MRS. KELLY 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.