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BUCKELEW PROGRAMS
NPI 1922334622
Community Based Residential Treatment Facility, Mental Illness in San Rafael, CA

Active since October 30, 2009
914 MISSION AVE, SAN RAFAEL, CA 94901(415) 457-6964 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Buckelew Programs NPPES

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

BUCKELEW PROGRAMS (NPI 1922334622) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Rafael, California and active in the NPI registry since October 2009. The organization lists John P Whitty, Site Director, as its authorized official.

NPPES Registry Identity

NPI1922334622
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameBUCKELEW PROGRAMS
Location Address914 MISSION AVESan Rafael, CA 94901-6106
Mailing Address1109 Sir Francis Drake BlvdKentfield, CA 94904 · (415) 459-6965
Phone(415) 457-6964
Organization SubpartNo
Authorized OfficialJohn P WhittySite Director · (415) 459-6965
Enumeration DateOctober 30, 2009
✔ NPI 1922334622 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
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
914 MISSION AVE, San Rafael, CA 94901
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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.

DAVID WILDE
Counselor (Mental Health)
914 MISSION AVE, 3RD FLOOR
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
CHRISTINE COATS
Counselor (Mental Health)
914 MISSION AVE, 3RD FLOOR
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
MS. NANCY GREATHEAD JANKO MFTI
Counselor (Mental Health)
914 MISSION AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-1925
CHRISTOPHER ALAN FURBEE
Counselor (Mental Health)
914 MISSION AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
MS. SUSAN JANE THOMAS-SAMPSON M.A.
Counselor (Mental Health)
914 MISSION AVE, 3RD FLOOR
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
MS. SHARYN BACCEI
Counselor (Mental Health)
914 MISSION AVE
SAN RAFAEL, CA 94901
Marin County (415) 456-9350
MRS. BRENDA LEE SMEETH
Counselor (Mental Health)
914 MISSION AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-6964
MR. DONALD ROBERT MOORE
Counselor (Mental Health)
914 MISSION AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-1925

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 1922334622. It was assigned to this organization in the NPPES registry on October 30, 2009.

Where is Buckelew Programs located?

Buckelew Programs is located at 914 Mission Ave, San Rafael, CA 94901. The listed phone number is (415) 457-6964.

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 October 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.