BUCKELEW PROGRAMS (NPI# 1861666794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861666794 |
| Entity Type | Organization |
| Organization Name | BUCKELEW PROGRAMS |
| Other Organization Name | BUCKELEW PROGRAMS - RSS |
| Practice Address |
201 Alameda Del Prado Ste 201 Novato CA 94949-6698 |
| Practice Telephone | 4152464671 |
| Mailing Telephone | 4152464671 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | DR. JAMES MENSING (DIRECTOR - QUALITY & COMPLIANCE) |
| Authorized Official Telephone | 4153021423 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Buckelew Programs - RSS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1659624815 | Buckelew Programs | Community/Behavioral Health | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2012-10-24 |
| 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 |
201 ALAMEDA DEL PRADO STE 201 |
| City | NOVATO |
| State | CA |
| Zip Code | 94949-6698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969873 | Adeel Ahmad | Counselor | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2020-10-09 |
| 1861050205 | Khlood Salah | Counselor | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2019-05-31 |
| 1649731704 | Rebecca Newton | Counselor | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2019-03-29 |
| 1194067611 | Arthur Ray Davidson | Counselor | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2013-03-22 |
| 1740537992 | Buckelew Programs | Clinic/Center | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2012-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365427 | Rebecca Pia Ashkenazy | Counselor | 201 Alameda Del Prado Suite 201, Novato, CA 94949 | 2020-01-15 |
| 1063073583 | Minding Your Body | Clinic/Center | 250 Bel Marin Keys Boulevard, Suite D1, Nevato, CA 94949 | 2019-06-25 |
| 1750743555 | Shivani Vasishta | Physician Assistant | 5800 Nave Dr, Novato, CA 94949 | 2016-03-22 |
| 1780065516 | Sikander Isshak | Pharmacist | 437 Via Del Plano, Novato, CA 94949 | 2015-06-17 |
| 1619224763 | Kerby Ann Gleeson | Social Worker | 1385 North Hamilton Parkway, Novato, CA 94949 | 2012-08-08 |
| 1295094241 | Stacy Anne Rosenblatt | Social Worker | 1385 North Hamilton Prkway, Novato, CA 94949 | 2012-05-11 |
| 1487913505 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 394 Bel Marin Keys Blvd, Suite 4, Novato, CA 94949 | 2012-05-09 |
| 1609181213 | Vincent Gregory Pons | Internal Medicine | 448 Ignacio Blvd, No. 403, Novato, CA 94949 | 2010-08-09 |
| 1811217946 | Prima Medical Foundation | Clinic/Center | 4 Hamilton Landing, Suite 100, Novato, CA 94949 | 2010-06-11 |
| 1770776957 | Lisa Marutani | Registered Nurse | 21 Tamal Vista, 100, Corte Madera, CA 94949 | 2007-08-22 |
| Find all providers in zip 94949 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 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.