Chenetra D Buchannon, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

2400 Hospital Rd # 4a-209
Tuskegee, AL 36083-5001

Phone

(334) 727-0550

Fax

(334) 725-3262

NPI assigned

Dec 21, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Auburn Psychological Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, AL
  • NPI 1487282620
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1043726482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 ROANOKE LN",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368301912",
            "telephone_number": "334-707-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL RD # 4A-209",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360835001",
            "telephone_number": "334-727-0550",
            "fax_number": "334-725-3262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "778 N Dean Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368304315",
            "country_code": "US",
            "telephone_number": "334-219-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANNON",
        "first_name": "CHENETRA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "2165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "1487282620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Brown Brown, RKT
• Gloria Ann Brown, RKT
• Lisa Vernette Brown, MSW, LCSW
• Michael Brown, RPH
• Veronica Michelle Bryant
• Ethel Mae Burrell, PHARMD.
• Alice Marie Calhoun, MSW
• Debra R Campbell, PHD
• Noah Jefferson Carden III, D.M.D
• Mae Anglie Carlisle, NP

• All providers in Tuskegee, AL
• Counseling Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.