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BUCKELEW PROGRAM
NPI 1649587874
Counselor - Mental Health in San Rafael, CA

Active since September 09, 2010
900 5TH AVE, SAN RAFAEL, CA 94901(415) 457-6964 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Buckelew Program NPPES

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

BUCKELEW PROGRAM (NPI 1649587874) is a healthcare organization registered as a mental health in San Rafael, California and active in the NPI registry since September 2010. The organization lists Katy Spense, Senior Site Manager, as its authorized official.

NPPES Registry Identity

NPI1649587874
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBUCKELEW PROGRAM
Location Address900 5TH AVESan Rafael, CA 94901-2959
Mailing Address900 5th AveSan Rafael, CA 94901-2959 · (415) 457-6964
Phone(415) 457-6964
Organization SubpartNo
Authorized OfficialKaty SpenseSenior Site Manager · (415) 457-6964
Enumeration DateSeptember 9, 2010
✔ NPI 1649587874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
900 5TH AVE, San Rafael, CA 94901
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MR. ARTHUR MULLIN III
Counselor (Mental Health)
900 5TH AVE, SUITE 150
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
ALLAN QUIJANO QUITON
Counselor
900 5TH AVE, SUITE 150
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
KELLY SUSAN DAVIS
Counselor (Mental Health)
900 5TH AVE, SUITE 150
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
MR. LARRY ALAN JACOBS MFT
Marriage & Family Therapist
900 5TH AVE, SUITE 203
SAN RAFAEL, CA 94901
Marin County (415) 978-9229
DR. RICHARD CUSHING MILLER PH.D.
Specialist
900 5TH AVE, SUITE 203
SAN RAFAEL, CA 94901
Marin County (415) 456-3909
GUSTAVO GONCALVES
Counselor (Mental Health)
900 5TH AVE, SUITE 150
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
MS. ELAINE C PURCELL
Counselor
900 5TH AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
ALGEO CHE CASUL
Counselor (Mental Health)
900 5TH AVE, SUITE150
SAN RAFAEL, CA 94901
Marin County (707) 481-8669

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 Program's NPI number?

The NPI number for Buckelew Program is 1649587874. It was assigned to this organization in the NPPES registry on September 9, 2010.

Where is Buckelew Program located?

Buckelew Program is located at 900 5th Ave, San Rafael, CA 94901. The listed phone number is (415) 457-6964.

What is Buckelew Program's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Buckelew Program was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.