David Buckley Pmhnp PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DAVID BUCKLEY PMHNP PLLC

Practice address

607 Boylston St Ste 191L
Boston, MA 02116-3604

Phone

(617) 302-7102

NPI assigned

Sep 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David BuckleyNPI 1093145815

Title

Owner

Phone

(617) 302-7102

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Buckley

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
  • NPI 1093145815
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1023623352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BOYLSTON ST STE 191L",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163604",
            "telephone_number": "617-302-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BOYLSTON ST STE 191L",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163604",
            "telephone_number": "617-302-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BUCKLEY PMHNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-302-7102"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ellen Davenport, M.D.
• Sarah Davenport
• Ashley Davey, PHARM.D
• Thomas Davey, ED.D.
• David a Bailen MD PC
• David Campbell
• David W. Lhowe, M.D., P.C.
• Allison David
• Frank S David, M.D.
• John R David, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.