Buckelew Programs
Community/Behavioral Health in Santa Rosa, CA. Organization (NPI-2).
Details
- NPI
- 1497587240
- Entity type
- Organization (NPI-2)
- Legal business name
- Buckelew Programs
- Organization subpart
- No
- Enumeration date
- Aug 19, 2024
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Community Support Services (Other Name)
Practice location
2235 Mercury Way Ste 107Santa Rosa, CA 95407-5472
Phone 707-780-7239
Mailing address
2235 Mercury Way Ste 107Santa Rosa, CA 95407-5472
Phone 707-780-7239
Other practice locations
Novato, CA 94949-6688
Phone 415-457-6964
Authorized official
John Christopher Kughn
Ceo
4154576966
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 46 Community/Behavioral Health Agency providers in Santa Rosa · All 8,142 providers in Santa Rosa
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