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MARY KAY BUCKLEY, PSYCHOTHERAPIST INC
NPI 1710509377
Community/Behavioral Health in Fresno, CA

Active since May 17, 2020
1357 W SHAW AVE STE 102, FRESNO, CA 93711(559) 250-6715(866) 812-5195 Get Directions Write a Review

NPPES record last updated: March 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2022, Aug 2, 2020, May 17, 2020 (3 updates tracked since 2020).

About Mary Kay Buckley, Psychotherapist Inc NPPES

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

MARY KAY BUCKLEY, PSYCHOTHERAPIST INC (NPI 1710509377) is a healthcare organization registered as a community/behavioral health in Fresno, California and active in the NPI registry since May 2020. The organization lists Mary Kathleen Buckley, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1710509377
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMARY KAY BUCKLEY, PSYCHOTHERAPIST INC
Location Address1357 W SHAW AVE STE 102Fresno, CA 93711-3619
Mailing Address1357 W Shaw Ave Ste 102Fresno, CA 93711-3619 · (559) 250-6715
Phone(559) 250-6715
Fax(866) 812-5195
Organization SubpartNo
Authorized OfficialMary Kathleen BuckleyOwner/provider · (559) 250-6715
Enumeration DateMay 17, 2020
Last NPPES UpdateMarch 12, 20223 updates tracked since enumeration
NPPES CertifiedMarch 12, 2022
✔ NPI 1710509377 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.
1357 W SHAW AVE STE 102, Fresno, CA 93711
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Other Identifiers 1

Medicaid7246041CA

Other Providers at the Same Location NPPES 2

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

ALYSSA KELSEY HACKETT LMFT
Marriage & Family Therapist
1357 W SHAW AVE STE 102
FRESNO, CA 93711
Fresno County (559) 464-5279
MARY KATHLEEN BUCKLEY LCSW
Social Worker (Clinical)
1357 W SHAW AVE STE 102
FRESNO, CA 93711
Fresno County (559) 464-5279

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 Mary Kay Buckley, Psychotherapist Inc's NPI number?

The NPI number for Mary Kay Buckley, Psychotherapist Inc is 1710509377. It was assigned to this organization in the NPPES registry on May 17, 2020.

Where is Mary Kay Buckley, Psychotherapist Inc located?

Mary Kay Buckley, Psychotherapist Inc is located at 1357 W Shaw Ave Ste 102, Fresno, CA 93711. The listed phone number is (559) 250-6715.

What is Mary Kay Buckley, Psychotherapist Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Kay Buckley, Psychotherapist Inc was last updated on March 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.