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BUCKELEW PROGRAMS
NPI 1376404756
Substance Abuse Rehabilitation Facility in San Rafael, CA

Active since November 24, 2025
30 JOSEPH CT, SAN RAFAEL, CA 94903(415) 457-6961 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Buckelew Programs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKELEW PROGRAMS (NPI 1376404756) is a healthcare organization registered as a substance abuse rehabilitation facility in San Rafael, California and active in the NPI registry since November 2025. The organization lists J. Chris Kughn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376404756
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBUCKELEW PROGRAMS
Location Address30 JOSEPH CTSan Rafael, CA 94903-2664
Mailing Address30 Joseph CtSan Rafael, CA 94903-2664
Phone(415) 457-6961
Organization SubpartNo
Authorized OfficialJ. Chris KughnCeo · (415) 457-6961
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1376404756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
30 JOSEPH CT, San Rafael, CA 94903
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA WALTERS LPN
Licensed Practical Nurse
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 785-4993
MR. MICHAEL MYLES CROWE
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 785-4993
MS. ASHLEY DAWN MCHUGH
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 720-2029
MR. MICHAEL DARNEL MCLAIN CCAPP
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 457-6964
NASTASSIA MARIE MOORE-WALKER
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 720-2029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buckelew Programs's NPI number?

The NPI number for Buckelew Programs is 1376404756. It was assigned to this organization in the NPPES registry on November 24, 2025.

Where is Buckelew Programs located?

Buckelew Programs is located at 30 Joseph Ct, San Rafael, CA 94903. The listed phone number is (415) 457-6961.

What is Buckelew Programs's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Buckelew Programs was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.