Angel Buchanan, PH.D. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ANGEL BUCHANAN, PH.D. LLC

Practice address

115 15TH St
Wilmette, IL 60091-3231

Phone

(847) 906-3900

Fax

(847) 906-3997

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Angel Buchanan, PH.D.NPI 1932638897

Title

Clinical Psychologist

Phone

(847) 906-3900

Specialties & licenses 1

Addresses

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

• Angel Mehta Buchanan, PH.D.

  • Clinical Psychologist
  • Wilmette, IL
  • NPI 1932638897

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1831787902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600910216",
            "telephone_number": "847-906-3900",
            "fax_number": "847-906-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 15TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913231",
            "telephone_number": "847-906-3900",
            "fax_number": "847-906-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL BUCHANAN, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-906-3900",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wilmette, IL
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.