BUCKELEW COMMUNITY RESPONSE TEAM - NPI 1609644848 - Community/Behavioral Health in Santa Rosa, CA

Q: What is Buckelew Programs's NPI number?

The NPI number for Buckelew Programs is 1609644848. It was assigned to this organization in the NPPES registry on December 18, 2023. The provider is also known as Buckelew Community Response Team.

Q: What is Buckelew Programs's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Buckelew Programs was last updated on December 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Buckelew Community Response Team NPPES

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

BUCKELEW COMMUNITY RESPONSE TEAM (NPI 1609644848) is a healthcare organization registered as a community/behavioral health in Santa Rosa, California and active in the NPI registry since December 2023. The organization lists John Christopher Kughn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609644848

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBUCKELEW PROGRAMS

Location Address2235 MERCURY WAY STE 107Santa Rosa, CA 95407-5472

Mailing Address2235 Mercury Way Ste 107Santa Rosa, CA 95407-5472 · (707) 780-7239

Phone(707) 780-7239

Organization SubpartYes

Authorized OfficialJohn Christopher KughnCeo · (415) 457-6966

Enumeration DateDecember 18, 2023

NPPES CertifiedDecember 18, 2023

✔ NPI 1609644848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

2235 MERCURY WAY STE 107, Santa Rosa, CA 95407

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Other Names 1

Other NameBuckelew Community Response Team

Other Providers at the Same Location NPPES 20

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

ANGEL STEVEN ESCOBAR

Day Training/Habilitation Specialist