Provider Demographics
NPI:1598403271
Name:THE BUCKMAN INSTITUTE FOR PSYCHOLOGICAL HEALTH, INC.
Entity Type:Organization
Organization Name:THE BUCKMAN INSTITUTE FOR PSYCHOLOGICAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:PAULINE
Authorized Official - Last Name:BUCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMHC
Authorized Official - Phone:413-222-1800
Mailing Address - Street 1:10 CENTRAL ST STE 30
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-2742
Mailing Address - Country:US
Mailing Address - Phone:413-222-1800
Mailing Address - Fax:413-642-5574
Practice Address - Street 1:10 CENTRAL ST STE 30
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-2742
Practice Address - Country:US
Practice Address - Phone:413-222-1800
Practice Address - Fax:413-642-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty