Buckelew Programs

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BUCKELEW PROGRAMS

Practice address

30 Joseph CT
San Rafael, CA 94903-2664

Phone

(415) 457-6961

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Mr. J. Chris Kughn, LMFT

Title

Ceo

Phone

(415) 457-6961

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Catherine Parry

  • Registered Record Administrator
  • Novato, CA
  • NPI 1396463048
  NPD
• Nastassia Marie Moore-Walker

  • Addiction (Substance Use Disorder) Counselor
  • San Rafael, CA
  • NPI 1831024389
  NPD (past)

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1376404756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JOSEPH CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 JOSEPH CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032664",
            "telephone_number": "415-457-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKELEW PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "KUGHN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-457-6961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Buaron, DNP, PMHNP-BC
• Jennifer Marie Buchanan, DDS
• Keely Brant Buchanan
• Alison Buck, MS
• Buckelew Program
• Buckelew Programs
• Buckelew Programs
• Buckelew Programs
• Linda S. Budowski, LCSW
• David Buechner

• Substance Abuse Rehabilitation Facility in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.