Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Buckhout, LICSW, LLC

Organization Adult Mental Health Clinic/Center · NPI 1760253058

Tyler Buckhout, LICSW, LLC is an Adult Mental Health Clinic/Center in East Boston, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14 Haynes St Unit 101
East Boston, MA 02128-4952
Phone: (617) 863-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1760253058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Buckhout — Owner · (978) 387-4404
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024
Mailing address14 Haynes St Unit 101, East Boston, MA 02128-4952

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