Deborah Bukolt

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

2772 4TH Ave
San Diego, CA 92103-6206

Phone

(619) 295-6067

NPI assigned

Jun 3, 2010

Last updated

Jun 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: deborahbukolt@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Community Research Foundation

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1104001064
  NPD (past)
• Community Research Foundation Inc

  dba StepForward

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1730302928
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1174843072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 C AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181405",
            "telephone_number": "619-319-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036206",
            "telephone_number": "619-295-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKOLT",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tam Bui
• Tran Bao Bui
• Trevor Van Bui
• Nadia Bukar, PMHNP-BC
• Sana Bukhari
• Stefan Bulatovic, PMHNP-BC
• Kyrstyn Bulawin
• Mark Bulgarelli, DO
• Anna Rose Bulka, AMFT, SUDCC IV
• Migena Bulku

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.