HOLLY LYNN BUCKMAN (NPI# 1205363199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205363199 |
Entity Type | Individual |
Full Name | HOLLY LYNN BUCKMAN |
Credential | MS CLINICAL PSYCHOLO |
Practice Address |
1440 Broadway Ste 314 Oakland CA 94612-2023 |
Mailing Address |
179 Higdon Ave Apt 3 Mountain View CA 94041-1027 |
Practice Telephone | 8885245122 |
Practice Fax Number | 8885245122 |
Mailing Telephone | 2192528101 |
Enumeration Date | 2017-05-22 |
Last Update Date | 2017-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
Street Address |
1440 BROADWAY STE 314 |
City | OAKLAND |
State | CA |
Zip Code | 94612-2023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790279834 | Daniel A Lizotte | Student in an Organized Health Care Education/Training Program | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2018-06-21 |
1356871446 | Inka Kristiina Hanhivaara | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
Find all providers in zip 94612 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467740373 | Elizabeth Tang-liang | Psychologist | 510 16th Street, Oakland, CA 94577 | 2011-07-12 |
1609057389 | Sharmila Raevette Wallace | Psychologist | 5425 Holland St Apt 3, Oakland, CA 94601-5742 | 2007-11-21 |
1609929652 | Robert Sargent | Psychologist | 4374 Norton Ave, Oakland, CA 94602-3541 | 2007-01-20 |
1033294509 | Paul S. D. Berg | Psychologist | 400 29th St Ste 315, Oakland, CA 94609-3548 | 2006-10-25 |
1356871446 | Inka Kristiina Hanhivaara | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-06-12 |
1023364346 | Lauren Kristin Collins | Psychologist | 519 17th St, Suite # 210, Oakland, CA 94612-1527 | 2012-07-25 |
1619222924 | Allyson Vincent | Psychologist | 1440 Broadway, Oakland, CA 94612-2041 | 2012-07-24 |
1669727202 | Sarah Stephenson Evans | Psychologist | 1440 Broadway, Oakland, CA 94612-2041 | 2012-07-19 |
1114214368 | Melissa Anne Murphy | Psychologist | 1440 Broadway, Suite 610, Oakland, CA 94612-2041 | 2011-07-07 |
1407171580 | Charles Meyers | Psychologist | 445 Bellevue Ave, Suite 201, Oakland, CA 94610-4923 | 2010-04-01 |
Find all providers in OAKLAND |
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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.