NPIMap

Organization Active NPI

Buckeye Behavioral Consulting Inc

  • Clinic/Center
  • Beavercreek, OH
National Provider Identifier
1902369309
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BUCKEYE BEHAVIORAL CONSULTING INC
Practice address
70 Birch Aly Ste 240
Beavercreek, OH 45440-1477
Phone
(937) 340-7104
NPI assigned
Apr 11, 2019
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Yakov Halberstam
Title
Director
Phone
(866) 352-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

70 Birch Aly Ste 240
Beavercreek, OH 45440-1477

Mailing address

4601 Sheridan St Ste 501
Hollywood, FL 33021-3435
Phone (866) 352-5010

National Provider Directory

National Provider Directory

Locations

4601 Sheridan St
Ste 501
Hollywood, FL 33021
Phone (603) 782-2226

Practitioners & affiliated clinicians

Practitioners 92

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1902369309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SHERIDAN ST STE 501",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213435",
            "telephone_number": "866-352-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY STE 240",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454401477",
            "telephone_number": "937-340-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE BEHAVIORAL CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "HALBERSTAM",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-352-5010"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.