Organization Active NPI

Buckley Mental Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Adams, MA
National Provider Identifier
1629680939
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Aug 18, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.