BUCKELEW COMMUNITY RESPONSE TEAM
NPI 1679340897
Community/Behavioral Health in Santa Rosa, CA

NPI Status: Active since December 07, 2023

Contact Information

983 SONOMA AVE
SANTA ROSA, CA
ZIP 95404
Phone: (707) 583-5284

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  • Organization
  • Community/Behavioral Health

About BUCKELEW COMMUNITY RESPONSE TEAM

This page provides the complete NPI Profile along with additional information for Buckelew Community Response Team, a provider established in Santa Rosa, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1679340897 assigned on December 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Buckelew Community Response Team. The authorized official of this NPI record is John Christopher Kughn (Ceo)

NPI
1679340897
Provider Legal Name
BUCKELEW PROGRAMS
Other Organization Name
BUCKELEW COMMUNITY RESPONSE TEAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
983 SONOMA AVE SANTA ROSA, CA 95404
Location Phone
(707) 583-5284
Mailing Address
201 ALAMEDA DEL PRADO STE 103 NOVATO, CA 94949
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-07-2023
Last Update Date
01-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN CHRISTOPHER KUGHN

Authorized Official Title
CEO
Authorized Official Phone
(415) 457-6966

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679340897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149640818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 6 + 4 + 0 + 8 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1679340897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356421051 PAMELA S DOMINO RN
Individual
Registered Nurse983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 583-8700
1144304114 JOEL M. LEWIS DO
Individual
Family Medicine983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 583-8700
1588850796 MARY CATHERINE PAPSCO FNP
Individual
Family Medicine983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 583-8700
1558863779 REIS TUCKER-MEADE
Individual
Nurse Practitioner (Primary Care)983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 583-8700
1780121582 JOTHAM KAHORO GIKUHI FNP
Individual
Nurse Practitioner983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 583-8700
1184909103SANTA ROSA COMMUNITY HEALTH CENTERS
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 547-2220
1902627201 KALEY BRYN MOUNTS MA
Individual
Counselor (Mental Health)983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 608-4871
1881388627 SUSAN LUNDT
Individual
Counselor (Mental Health)983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 571-5581
1578343133 YUZI MONSERRAT DELGADO
Individual
Community Health Worker983 SONOMA AVE
SANTA ROSA, CA 95404
(707) 571-5581

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679340897, enumerated in the NPI registry as an "organization" on December 07, 2023

The provider is located at 983 Sonoma Ave Santa Rosa, Ca 95404 and the phone number is (707) 583-5284

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on December 07, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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