Buckeye Therapeutics and Mediation, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M-08334 Issued in NM

Legal business name

BUCKEYE THERAPEUTICS AND MEDIATION, LLC

Practice address

3916 Juan Tabo Blvd NE Ste 23
Albuquerque, NM 87111-3981

Phone

(505) 821-9973

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Jonathan J Einhorn, LMSW

Title

Sole Member

Phone

(505) 821-9973

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1679970230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26813",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256813",
            "telephone_number": "505-821-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 JUAN TABO BLVD NE STE 23",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113981",
            "telephone_number": "505-821-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE THERAPEUTICS AND MEDIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "EINHORN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "505-821-9973",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-08334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Buchwald, M.D.
• Eva Buchwald, SW
• Elizabeth Ann Buck, LPCC
• Marjorie Helen Buck, RNCS
• Wendy Denise Buckels, MS, CCC-SLP
• Carly Paige Buckingham, D.O.
• Merrick Buckingham
• Jason Buckles, LPCC
• Ariel Buckner
• Alicia Danielle Bucko, DO

• Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.