BUCKELEW PROGRAMS NPI 1497587240

NPI Information

  • NPI: 1497587240
  • Provider Name: BUCKELEW PROGRAMS
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Other Name: COMMUNITY SUPPORT SERVICES
  • Address: 2235 MERCURY WAY STE 107
    SANTA ROSA, CA
    ZIP 95407
  • Phone: (707) 780-7239

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NPI Details

BUCKELEW PROGRAMS is a community behavioral health in Santa Rosa, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BUCKELEW PROGRAMS NPI is 1497587240. The provider is registered as an organization entity type.
The provider Other Name Is Community Support Services.

The provider's business location address is:

2235 MERCURY WAY STE 107
SANTA ROSA, CA
ZIP 95407-472
Phone: (707) 780-7239

The provider's authorized official is John Christopher Kughn .
The authorized official title is Ceo and has the following contact phone number (415) 457-6966.

The enumeration date for this NPI number is 8/19/2024 and was last updated on 8/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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