Individual provider Active NPI

Brandi Buchanan, PHD

  • Clinical Psychologist
  • Rockwall, TX
National Provider Identifier
1659761625
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37022 Issued in TX
Practice address
777 Justin Rd
Rockwall, TX 75087-4840
Phone
(214) 620-5580
Fax
(469) 264-5037
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Clinical Psychologist 103TC0700X 37022 TX Primary

Addresses

Primary practice location

777 Justin Rd
Rockwall, TX 75087-4840

Mailing address

777 Justin Rd
Rockwall, TX 75087-4840
Phone (214) 620-5580

Other identifiers 1

IdentifierTypeStateIssuer
375102601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423000448 TX Practitioner - Clinical Psychologist 8820316862 Reassigns benefits to 2 organizations
Practice locations: Dallas, TX; Greenville, TX; Rockwall, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychology Consultants PLLCGroup PAC ID 8729350541, 5 clinicians
Dallas Neuropsychology PLLCGroup PAC ID 8921376310, 2 clinicians

Practice addresses (Care Compare)

6717 W Eldorado Pkwy
110 Karen Falla PHD
McKinney, TX 75070-5734
Phone (214) 585-0584

777 Justin Rd
Rockwall, TX 75087-4840
Phone (214) 620-5580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37022TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Quest Home Health, Inc. CurrentSince Dec 29, 2024 Accepting new patients
Neuropsychology Consultants PLLC CurrentSince Oct 1, 2025 Accepting new patients
Buchanan Neuropsychology, PLLC Clinical Neuropsychologist PastSince Apr 28, 2024 Accepting new patients
Lattie Psychological Associates PLLC Clinical PastSince Feb 2, 2015 Accepting new patients

Locations

4000 Wesley St
Ste C
Greenville, TX 75401
Phone (903) 408-6654

6717 Eldorado Pkwy
Ste 110
McKinney, TX 75070
Phone (214) 585-0584

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1659761625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "214-620-5580",
            "fax_number": "469-264-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "214-620-5580",
            "fax_number": "469-264-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "BRANDI",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-04-23",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375102601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.