Nicole Therese Buchanan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012177 Issued in MI

Practice address

200 Woodland Pass Ste E
East Lansing, MI 48823-2000

Phone

(517) 575-7449

Fax

(866) 333-5591

NPI assigned

Mar 26, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Psychological Associates, PLLC

  dba Dr. Nicole T. Buchanan

  • Clinical Psychologist
  • East Lansing, MI
  • NPI 1225572696
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093833501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1353",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488261353",
            "telephone_number": "517-575-7449",
            "fax_number": "866-333-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOODLAND PASS STE E",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232000",
            "telephone_number": "517-575-7449",
            "fax_number": "866-333-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W Walker St",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488791566",
            "country_code": "US",
            "telephone_number": "989-224-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "NICOLE",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Brown, LMSW
• Emily Brundage, LMSW
• Rachael Phoebe Brunger, LLPC
• Susan Bryant, M.A.,CCC-A
• Jacob Russell Bryde, DNP, AGPCNP-BC
• Cynthia A. Buchweitz, MD
• Karah Bucknam
• Colin Buday, DO
• Michael J Bueche, M.D.
• Brianna Grace Buehler, LLMSW

• Clinical Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.