King L Buchanan Jr PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

23833 Issued in TX

Legal business name

KING L BUCHANAN JR PHD PC

Practice address

8008 Slide Rd
Suite #25
Lubbock, TX 79424-2841

Phone

(806) 632-7955

Fax

(806) 794-8458

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. King Buchanan II, PH.D.NPI 1003835471

Title

Owner

Phone

(806) 632-7955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• King Landiss Buchanan II

  • Counseling Psychologist
  • Lubbock, TX
  • NPI 1003835471

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1235686015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 SLIDE RD",
            "address_2": "SUITE #25",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242841",
            "telephone_number": "806-632-7955",
            "fax_number": "806-794-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 SLIDE RD",
            "address_2": "SUITE #25",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242841",
            "telephone_number": "806-632-7955",
            "fax_number": "806-794-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING L BUCHANAN JR PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "KING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-632-7955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindstar, Inc.
• Kindstar, Inc.
• Kinfolks Special Needs LLC
• Jordan Kinford, PTA
• King and Burke, LLP
• Abby King, MS, RDN, LD
• Alexa King, MD
• Amanda Jonci King, PTA
• Ashley Renee King, MSN, RN, CCRN
• Betsy A King, LPC

• All providers in Lubbock, TX
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.