Michael S Buckley, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

S08907832 Issued in MA

Practice address

6 Pleasant St
Malden, MA 02148-5100

Phone

(781) 480-3946

Fax

(781) 480-3952

NPI assigned

Feb 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Embrace Pathways to Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malden, MA
  • NPI 1972004992
  NPD

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1255084844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1R NEWBURY ST STE 401",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603816",
            "telephone_number": "617-804-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PLEASANT ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485100",
            "telephone_number": "781-480-3946",
            "fax_number": "781-480-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1R Newbury St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019603816",
            "country_code": "US",
            "telephone_number": "617-804-2773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "S08907832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Holt Brown
• Shenay Brown, LICSW
• Amanda Lee Bruce
• Jenny Brunot
• Jacob Salpeter Buckley
• Ashley Buettgen
• Dylan H Bui, OD
• Kimberly Buonomo, DPT
• Ryan Matthew Burke, DPT
• Sheila Buteau, RN

• Counselor in Malden, MA
• Providers in Malden, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.