Lila Bucklin

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

118583 Issued in MA

Legal business name

LILA BUCKLIN

Practice address

65 Cornwall St Unit 104
Jamaica Plain, MA 02130-2696

Phone

(617) 642-8929

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Lila Bucklin, LICSW

Title

Psychotheraist

Phone

(617) 642-8929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1437521275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CORNWALL ST UNIT 104",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CORNWALL ST UNIT 104",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302696",
            "telephone_number": "617-642-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILA BUCKLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "BUCKLIN",
        "authorized_official_first_name": "LILA",
        "authorized_official_title_or_position": "PSYCHOTHERAIST",
        "authorized_official_telephone_number": "617-642-8929",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "118583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wikendy Lherisson
• Siyao Li
• Xiaoxi Li
• Andrea Marie Liberatore, M.S.
• Corrine Liell
• Armin L Lilienfeld, MD
• Joshua Lilienstein, MD
• Leonard Stuart Lilly, MD
• Hannah Lin, MD
• Andrea Linn, MS/CCC-SLP

• Community/Behavioral Health Agency in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.