Nicole Buckley LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

NICOLE BUCKLEY LLC

Practice address

988 New London Tpke Ste 102
Glastonbury, CT 06033-5312

Phone

(860) 327-5431

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Nicole BuckleyNPI 1609466531

Title

Owner

Phone

(860) 327-5431

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Buckley

  • Professional Counselor
  • Glastonbury, CT
  • NPI 1609466531
  NPD Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1831781012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 NEW LONDON TPKE STE 102",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 NEW LONDON TPKE STE 102",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335312",
            "telephone_number": "860-327-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE BUCKLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-327-5431"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Public Health or Welfare Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.