BUCKELEW PROGRAMS (NPI# 1770783193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770783193 |
| Entity Type | Organization |
| Organization Name | BUCKELEW PROGRAMS |
| Practice Address |
914 Mission Ave 3rd Floor San Rafael CA 94901-6106 |
| Mailing Address |
1044 45th St #b Emeryville CA 94608-3392 |
| Practice Telephone | 4154576964 |
| Mailing Telephone | 5106534180 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | MISS CHELA L. FIELDING (HOUSE MANAGER) |
| Authorized Official Telephone | 5106534180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861666794 | Buckelew Programs | Community Based Residential Treatment Facility, Mental Illness | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2008-04-22 |
| 1619014883 | Buckelew Programs | Clinic/Center | 3000 Bridgeway, Suite 205, Sausalito, CA 94965-1489 | 2007-01-30 |
| 1518012020 | Buckelew Programs | Case Management | 2300 Northpoint Parkway, Santa Rosa, CA 95407 | 2007-01-24 |
| 1972993616 | Buckelew Programs | Community/Behavioral Health | 201 Alameda Del Prado Ste 103, Novato, CA 94949-6698 | 2015-02-03 |
| 1861823262 | Buckelew Programs | Community Based Residential Treatment Facility, Mental Illness | 1109 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2013-12-10 |
| 1659624815 | Buckelew Programs | Community/Behavioral Health | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2012-10-24 |
| 1740537992 | Buckelew Programs | Clinic/Center | 201 Alameda Del Prado Ste 201, Novato, CA 94949-6698 | 2012-08-07 |
| 1881987154 | Buckelew Programs | Community/Behavioral Health | 900 5th Ave Ste 150, San Rafael, CA 94901-2928 | 2011-05-19 |
| 1619290376 | Buckelew Programs | Community/Behavioral Health | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-03-10 |
| 1497085146 | Buckelew Programs | Case Management | 914 Mission Ave Fl 3, San Rafael, CA 94901-6106 | 2009-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BUCKELEW PROGRAMS | 1401 Los Gamos Dr Ste 240, San Rafael, CA 94903-1835 |
| Street Address |
914 MISSION AVE 3RD FLOOR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972688927 | Eric Scott Roberts | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2006-10-26 |
| 1780132076 | Ignacio Gallegos Jr. | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2016-09-14 |
| 1568731131 | Sacha C Mcgowan | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2011-12-27 |
| 1396055729 | Mischelle Williamson | Counselor | 914 Mission Ave, 3 Rd Floor, San Rafael, CA 94901 | 2010-10-19 |
| 1417276403 | John Daniel Heibel | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-05-31 |
| 1619290376 | Buckelew Programs | Community/Behavioral Health | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-03-10 |
| 1073845590 | Susan Jane Thomas-sampson | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-02-09 |
| 1891026670 | Patricia Barret | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-01-19 |
| 1467783415 | Kalia Lynn Chan | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2010-01-14 |
| 1669702221 | Kristina Aileen Danz | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1255865085 | Egan Family Chiropractic Inc. | Exclusive Provider Organization | 45 Mitchell Blvd Ste 9, San Rafael, CA 94903-2011 | 2017-04-19 |
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| 1407464290 | Carrot Fertility, Inc. | Exclusive Provider Organization | 47 Lusk St, San Francisco, CA 94107-1730 | 2020-07-17 |
| 1114573789 | Ed Sped Solutions, Inc. | Exclusive Provider Organization | 39159 Paseo Padre Pkwy Ste 205, Fremont, CA 94538-1623 | 2019-08-09 |
| 1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
| 1962065904 | Stork Club Fertility, Inc. | Exclusive Provider Organization | 1 Bluxome Street, Suite 203, San Francisco, CA 94107-5518 | 2019-04-16 |
| 1023589249 | Janie Isabelle Currey | Exclusive Provider Organization | 30183 Cove View St, Canyon Lake, CA 92587-7981 | 2018-12-16 |
| 1922586114 | Primary Care Associates of California of San Diego, Inc. | Exclusive Provider Organization | 10833 Valley View St Ste 570, Cypress, CA 90630-5061 | 2018-07-31 |
| 1962949057 | Sol Play Child Therapy Inc | Exclusive Provider Organization | 5811 Amaya Dr Ste 204, La Mesa, CA 91942-4156 | 2017-01-26 |
| 1841735511 | E.moawad Dental Corporation | Exclusive Provider Organization | 402 S Long Beach Blvd, Compton, CA 90221-3428 | 2017-01-04 |
| 1538512744 | Azila Katherine Sabile Ortiz | Exclusive Provider Organization | 15260 Amalia St, San Diego, CA 92129-1228 | 2016-07-22 |
| 1730534330 | Northern California Physicians Network Inc | Exclusive Provider Organization | 2331 Montpelier Dr, San Jose, CA 95116-1688 | 2016-05-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.