MR. MICHAEL TIMOTHY BUCKLEY CASAC NPI 1720346406

NPI Information

NPI: 1720346406
Provider Name: MR. MICHAEL TIMOTHY BUCKLEY, CASAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
449 39TH ST
4TH FLOOR
BROOKLYN, NY
ZIP 11232
Phone: (718) 871-7433
Get Directions

MR. Michael Timothy Buckley, CASAC is an addiction (substance use disorder) counselor in Brooklyn, NY. MR. Michael Timothy Buckley, CASAC NPI is 1720346406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

449 39TH ST
4TH FLOOR
BROOKLYN, NY
ZIP 11232-909
Phone: (718) 871-7433
Fax: (718) 871-7419

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/1/2012.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CASAC 17580	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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