Kristy Buck

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120780 Issued in MA

Practice address

2 Gaythorne Rd
Methuen, MA 01844-2035

Phone

(978) 682-7475

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Becomingyou Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dracut, MA
  • NPI 1871211219
  NPD Authorized official

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1679071666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GAYTHORNE RD",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GAYTHORNE RD",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442035",
            "telephone_number": "978-682-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "KRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Broughton, PA
• Amy Ruth Brown, LPN
• Hayley Brown, CTRS, CIFT
• Ruth-Anne Bryan, COTA/L
• Emily Andrews Buck, PMHNP-BC
• Jonathan Y Buckwold, MD
• Burba and Maripuri PLLC
• Patricia Ann Burba
• Melanie Anne Burgess, CNP
• Bryan Burke, MA

• Clinical Social Worker in Methuen, MA
• Providers in Methuen, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.