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TYLER BUCKHOUT, LICSW, LLC
NPI 1760253058
Clinic/Center - Adult Mental Health in East Boston, MA

Active since January 15, 2024
14 HAYNES ST UNIT 101, EAST BOSTON, MA 02128(617) 863-0096 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tyler Buckhout, Licsw, Llc NPPES

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

TYLER BUCKHOUT, LICSW, LLC (NPI 1760253058) is a healthcare organization registered as an adult mental health in East Boston, Massachusetts and active in the NPI registry since January 2024. The organization lists Tyler S Buckhout, Owner, as its authorized official.

NPPES Registry Identity

NPI1760253058
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTYLER BUCKHOUT, LICSW, LLC
Location Address14 HAYNES ST UNIT 101East Boston, MA 02128-4952
Mailing Address14 Haynes St Unit 101East Boston, MA 02128-4952 · (978) 387-4404
Phone(617) 863-0096
Organization SubpartNo
Authorized OfficialTyler S BuckhoutOwner · (978) 387-4404
Enumeration DateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1760253058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
14 HAYNES ST UNIT 101, East Boston, MA 02128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Tyler Buckhout, Licsw, LLC's NPI number?

The NPI number for Tyler Buckhout, Licsw, LLC is 1760253058. It was assigned to this organization in the NPPES registry on January 15, 2024.

Where is Tyler Buckhout, Licsw, LLC located?

Tyler Buckhout, Licsw, LLC is located at 14 Haynes St Unit 101, East Boston, MA 02128. The listed phone number is (617) 863-0096.

What is Tyler Buckhout, Licsw, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

What insurance does Tyler Buckhout, Licsw, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Tyler Buckhout, Licsw, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Buckhout, Licsw, LLC was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.