Individual provider Active NPI

Tara Buchy

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1881322964
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506954 Issued in OH
Practice address
601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone
(100) 000-0000
NPI assigned
Aug 8, 2022
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2506954 OH Primary

Addresses

Primary practice location

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424

Mailing address

907 W 5TH St
Dayton, OH 45402-8306
Phone (937) 764-2373

Other practice location 1

907 W 5th St
Dayton, OH 45402-8306
Phone (937) 764-2373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811003038 OH Practitioner - Clinical Social Worker 2264930049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2506954OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tara Buchy LLC Clinical Current Accepting new patients
Samaritan Behavioral Health, Inc. Current Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Jul 23, 2025 Accepting new patients
Samaritan Behavioral Health, Inc. Current Accepting new patients

Locations

601 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 734-4310

601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333

907 W 5th St
Dayton, OH 45402
Phone (937) 963-2037

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1881322964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 W 5TH ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454028306",
            "telephone_number": "937-764-2373",
            "fax_number": "937-588-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173424",
            "telephone_number": "100-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454028306",
            "country_code": "US",
            "telephone_number": "937-764-2373",
            "fax_number": "937-588-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHY",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.