Tyler Buckhout, Licsw, LLC
Clinic/Center, Adult Mental Health in East Boston, Massachusetts
1760253058- Practice location
- 14 Haynes St Unit 101, East Boston, MA 02128-4952
- Phone
- 617-863-0096
- Fax
- —
- Last updated
- January 15, 2024
Tyler Buckhout, Licsw, LLC is a healthcare organization based in East Boston, MA. Tyler Buckhout, Licsw, LLC practices in East Boston, MA. The NPI Number for Tyler Buckhout, Licsw, LLC is 1760253058. The current practice location address for Tyler Buckhout, Licsw, LLC is 14 Haynes St Unit 101, East Boston, MA 02128-4952 and can be reached out via phone at 617-863-0096.
Provider Profile Details
- NPI Number
- 1760253058
- Provider Name
- Tyler Buckhout, Licsw, LLC
- Provider Entity Type
- Organization
- Address
- 14 Haynes St Unit 101, East Boston, MA 02128-4952
- Phone Number
- 617-863-0096
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Tyler S Buckhout, LICSW · Owner · 978-387-4404
- Provider Enumeration Date
- January 15, 2024
- Last Update Date
- January 15, 2024
- Certification Date
- January 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Haynes St Unit 101
East Boston, MA 02128-4952 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-4952
- Phone Number
- 617-863-0096
Provider Business Mailing Address Details
- Address
- 14 Haynes St Unit 101
East Boston, MA 02128-4952 - City
- East Boston
- State
- MA
- Zip
- 02128-4952
- Phone Number
- 978-387-4404
License Information
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (2)
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Adult Mental Health providers near East Boston, MA
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- Kayla DuvallNurse Practitioner, Adult Health · NPI 1245185586
- Brian Kennedy SilvaSocial Worker, Clinical · NPI 1154221349
- Healing With Hayley, LLCClinic/Center, Mental Health (Including Community Mental Health Center) · NPI 1679499917
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Frequently Asked Questions
What is the NPI number of Tyler Buckhout, Licsw, LLC?
The NPI number of Tyler Buckhout, Licsw, LLC is 1760253058. It was assigned on January 15, 2024 and is currently active in the NPPES registry.
What is the specialty of Tyler Buckhout, Licsw, LLC?
Tyler Buckhout, Licsw, LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).
Where does Tyler Buckhout, Licsw, LLC practice?
The practice location is 14 Haynes St Unit 101, East Boston, MA 02128-4952. The office can be reached at 617-863-0096 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760253058 directly on the NPPES registry website.