MARK BUCKLEY (NPI# 1053710020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053710020 |
| Entity Type | Individual |
| Full Name | MARK BUCKLEY |
| Practice Address |
585 Riverside Dr Painesville OH 44077-5323 |
| Practice Telephone | 4403588334 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
OH1249247 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245691344 | Mark Gordon Buckley | Massage Therapist | 2740 Silver Ave, Sandy Valley, NV 89019-8539 | 2016-03-16 |
| 1750482246 | Mark Robinson Buckley | Dentist | 206 S Meridian St, Jasonville, IN 47438-1520 | 2006-09-26 |
| 1104098532 | Mark Buckley | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2008-03-26 |
| 1558575944 | Mark Buckley | Pharmacist | 788 S Willow St, Manchester, NH 03103-4018 | 2007-05-09 |
| Street Address |
585 RIVERSIDE DR |
| City | PAINESVILLE |
| State | OH |
| Zip Code | 44077-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821396318 | Riverside Local School District | Local Education Agency (LEA) | 585 Riverside Dr, Painesville, OH 44077-5323 | 2011-03-07 |
| 1386034353 | Diana Schulze | Occupational Therapy Assistant | 585 Riverside Dr, Painesville, OH 44077-5323 | 2015-01-29 |
| 1871995027 | Joan Louise Knerr | Occupational Therapy Assistant | 585 Riverside Dr, Painesville, OH 44077-5323 | 2014-09-18 |
| 1326448549 | Kelly Antos | Psychologist | 585 Riverside Dr, Painesville, OH 44077-5323 | 2014-08-25 |
| 1588073787 | Gretchen Wakim | Psychologist | 585 Riverside Dr, Painesville, OH 44077-5323 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695594 | Signature Health Inc. Pharmacy | Pharmacy | 54 South Saint Claire, Painesville, OH 44077 | 2020-10-06 |
| 1164053385 | Elaine Marie Nelson | Technician, Other | Cosmetic Laser Inc, 8353 Mentor Ave. Unit 7, Mentor, OH 44077 | 2020-01-27 |
| 1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1093208662 | Lindsey Elaine Varckette | Physical Therapy Assistant | 60 Wood Street, Painesville, OH 44077 | 2018-06-08 |
| 1083116578 | Brian Mills | Hearing Instrument Specialist | 1920 Mentor Ave, Painesville, OH 44077 | 2018-03-01 |
| 1033610324 | Julia Nicole Chase | Pharmacist | 180 W State Street, Painesville, OH 44077 | 2018-02-22 |
| 1104343631 | Donna Sheahan | Nurse Practitioner | 236 Ardmore Blvd, Painesville, OH 44077 | 2017-08-25 |
| 1417474198 | Jacqueline Owens | Registered Nurse | 7757 Auburn Rd, Ste 6 &7, Concord Twp., OH 44077 | 2017-08-24 |
| 1689197303 | Michelle Claire Pierce | Registered Nurse | 311 W. Walnut Ave., Painesville, OH 44077 | 2017-07-25 |
| Find all providers in zip 44077 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629477856 | Lisa Damico | Psychologist | 56 Hale Rd, Painesville, OH 44077-4870 | 2014-08-13 |
| 1366842387 | Danielle Sopko-reeves | Psychologist | 382 Blackbrook Rd, Painesville, OH 44077-1294 | 2014-08-27 |
| 1326448549 | Kelly Antos | Psychologist | 585 Riverside Dr, Painesville, OH 44077-5323 | 2014-08-25 |
| 1588073787 | Gretchen Wakim | Psychologist | 585 Riverside Dr, Painesville, OH 44077-5323 | 2014-08-13 |
| 1548685563 | Patricia L;ampe | Psychologist | 58 Jefferson St, Painesville, OH 44077-3114 | 2014-02-27 |
| 1114341062 | Beth Slejko | Psychologist | 58 Jefferson St, Painesville, OH 44077-3114 | 2014-02-13 |
| 1659795557 | Lisa Elliott | Psychologist | 58 Jefferson St, Painesville, OH 44077-3114 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
| Find all providers with the same taxonomy | ||||
| City | PAINESVILLE |
| Zip Code | 44077 |
Please comment or provide details below to improve the information on MARK BUCKLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.