Active NPI
Callie Jane Buchan
- Mental Health Counselor
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 014351
- Practice address
- 109 E 115TH St
New York, NY 10029-1186 - Phone
- (212) 633-9300
- NPI assigned
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 014351 | NY | Primary |
Addresses
Primary practice location
109 E 115TH St
New York, NY 10029-1186
Mailing address
590 Avenue of Americas
New York, NY 10011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
590 Ave of the Americas
New York, NY 10011-2022
590 Ave of the Americas
FL 10
New York, NY 10011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York Foundling Hospital | Current | Accepting new patients | |
| New York Foundling | Current | Accepting new patients |
Locations
170 Brown Pl
Bronx, NY 10454
Phone (212) 206-7140
2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606
590 Avenue of the Americas
New York, NY 10011
Phone (646) 459-3401
Organizations & group practices 3
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.
-
- Adolescent and Children Mental Health Clinic/Center
- New York, NY
- NPI 1649442229
-
- Health Service Clinic/Center
- Bronx, NY
- NPI 1598930869
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- New York, NY
- NPI 1114625530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1356949648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 AVENUE OF AMERICAS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E 115TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100291186",
"telephone_number": "212-633-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHAN",
"first_name": "CALLIE",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "014351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.