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BUCKELEW PROGRAMS
NPI 1861823262
Community Based Residential Treatment Facility, Mental Illness in Kentfield, CA

Active since December 10, 2013
1109 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904(415) 256-9995(415) 256-9998 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2024, Jul 3, 2023, Mar 13, 2020 and 1 more (4 updates tracked since 2016).

About Buckelew Programs NPPES

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

BUCKELEW PROGRAMS (NPI 1861823262) is a healthcare organization registered as a community based residential treatment facility, mental illness in Kentfield, California and active in the NPI registry since December 2013. The organization lists Chris Kughn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861823262
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBUCKELEW PROGRAMS
Location Address1109 SIR FRANCIS DRAKE BLVDKentfield, CA 94904-1418
Mailing Address201 Alameda Del Prado Ste 103Novato, CA 94949-6698 · (415) 302-1423
Phone(415) 256-9995
Fax(415) 256-9998
Organization SubpartNo
Authorized OfficialChris KughnCeo · (415) 457-6964
Enumeration DateDecember 10, 2013
Last NPPES UpdateMarch 4, 20244 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1861823262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in CA · 216803488
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1109 SIR FRANCIS DRAKE BLVD, Kentfield, CA 94904
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Other Names 1

Other NameBuckelew Programs

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.

DUSTIN JACOBSEN
Counselor
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995
JASON SASHA EWBANK
Day Training/Habilitation Specialist
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995
JEANETTE MEIGUEZ
Peer Specialist
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995
KANE RENE HERNANDEZ
Counselor (Mental Health)
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 457-6966
MS. JOHANNA TYLER ANDERSON M.ED.
Case Manager/Care Coordinator
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 473-6666
LAURA TURNER
Counselor
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995
ASHLEIGH DANIELLE LOPEZ
Rehabilitation Practitioner
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 457-6964
EMILY ROSE BARBERA
Counselor
1109 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 256-9995

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 1861823262. It was assigned to this organization in the NPPES registry on December 10, 2013.

Where is Buckelew Programs located?

Buckelew Programs is located at 1109 Sir Francis Drake Blvd, Kentfield, CA 94904. The listed phone number is (415) 256-9995.

What is Buckelew Programs's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Buckelew Programs was last updated on March 4, 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.