NPI Code Detail JSON Logo

1801790753 NPI number — BUCK PSYCHIATRIC SERVICES

NPI Number: 1801790753
Health Care Provider/Practitioner: BUCK PSYCHIATRIC SERVICES

Information about “1801790753” NPI (BUCK PSYCHIATRIC SERVICES) exists in 1801790753 in HTML format HTML  |  1801790753 in plain Text format TXT  |  1801790753 in PDF (Portable Document Format) PDF  |  1801790753 in an XML format XML  formats.

NPI Number : 1801790753 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801790753",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BUCK PSYCHIATRIC SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "48 LOWELL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEXINGTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02420-2810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-297-7409",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "48 LOWELL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEXINGTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02420-2810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-297-7409",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2026",
    "LastUpdateDate": "10/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BUCK",
    "AuthorizedOfficialFirstName": "EMILY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PMHNP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "857-919-2704",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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