Active NPI
Buckley Mental Health Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Adams, MA
National Provider Identifier
1629680939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BUCKLEY MENTAL HEALTH SERVICES LLC
- Practice address
- 132 Mass Moca Way
North Adams, MA 01247-2446 - Phone
- (413) 664-4600
- NPI assigned
- Aug 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly M Buckley, NP
- Title
- Pmhnp
- Phone
- (413) 441-9921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
132 Mass Moca Way
North Adams, MA 01247-2446
Mailing address
25 Copley Ter
Pittsfield, MA 01201-6434
Phone (413) 441-9921
National Provider Directory
National Provider DirectoryLocations
132 Mass Moca Way
North Adams, MA 01247
Phone (413) 664-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597708800000",
"number": "1629680939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 COPLEY TER",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016434",
"telephone_number": "413-441-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 MASS MOCA WAY",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012472446",
"telephone_number": "413-664-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKLEY MENTAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A",
"authorized_official_last_name": "BUCKLEY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "413-441-9921",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.