Mary Rebecca Buckley, MHS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA001066L Issued in PA

Practice address

6TH Ave and Spruce St, Center for Mental Health
The Reading Hospital and Medical Center
West Reading, PA 19611

Phone

(484) 628-9870

NPI assigned

Dec 5, 2006

Last updated

Jan 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Berks Counseling Center, Inc.

  • Community Health Clinic/Center
  • Reading, PA
  • NPI 1932629342
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1407914989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16052",
            "city": "READING",
            "state": "PA",
            "postal_code": "196126052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH AVE AND SPRUCE ST, CENTER FOR MENTAL HEALTH",
            "address_2": "THE READING HOSPITAL AND MEDICAL CENTER",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "484-628-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MARY",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001066L",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001066L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T. Brown, M.D.
• Rebecca Lindsay Brown, DO
• Monica Brunk
• Lawrence A Brzozowski, M.D.
• Christine Bucher, R.D.
• Jamie M Buemi, PA
• Jonathan David Buerger, MD
• Raesham Bukhari
• Joseph W. Burke, M.D.
• Bennita J Burkhart, CRNP

• Physician Assistant in West Reading, PA
• Providers in West Reading, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.