MADISON BUCHANAN MD NPI 1093397747

Clinic/Center (Adult Mental Health) in Corte Madera, CA

NPI 1093397747 Organization Clinic/Center Adult Mental Health

About MADISON BUCHANAN MD

Madison Buchanan Md is a provider established in Corte Madera, California specializing in clinic/center (adult mental health) . The NPI number of Madison Buchanan Md is 1093397747 and was assigned on April 2021. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Madison Michele Buchanan Johnson Md (Md)

NPI

1093397747

Provider NameMADISON BUCHANAN MD
Provider Location Address240 TAMAL VISTA BLVD STE 160 CORTE MADERA, CA 94925
Provider Mailing Address1800 TARAVAL ST UNIT 16693 SAN FRANCISCO, CA 94116
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-22-2021
Last Update Date04-22-2021


Primary Taxonomy

Taxonomy Code261QM0850X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAdult Mental Health
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Business Address

MADISON BUCHANAN MD
240 TAMAL VISTA BLVD STE 160
CORTE MADERA, CA
ZIP 94925
Phone: (415) 494-9165

Get Directions


Mailing Address

MADISON BUCHANAN MD
1800 TARAVAL ST UNIT 16693
SAN FRANCISCO, CA
ZIP 94116
Phone: (415) 494-9165



Authorized Official

Authorized Official NameDR. MADISON MICHELE BUCHANAN JOHNSON MD
Authorized Official TitleMD
Authorized Official Phone(415) 494-9165

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104382902 CHRISTINE ELIZABETH VALDEZ PH.D.
Individual
Psychologist (Clinical)240 TAMAL VISTA BLVD STE 160
CORTE MADERA, CA 94925
(415) 604-2624

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.