PATRICIA DIANE BUCKNER EDD
NPI 1215034764
Psychologist - Clinical in Chattonooga, TN

Q: What is Patricia Buckner's NPI number?

The NPI number for Patricia Buckner is 1215034764. It was assigned to this individual provider in the NPPES registry on September 19, 2006. The provider is also known as Patricia Diane Neilson Edd.

Q: What is Patricia Buckner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Buckner was last updated on February 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 19, 2006

6110 SHALLOWFORD RD, CHATTONOOGA, TN 37421(800) 632-6074(866) 341-7509 Get Directions Write a Review

NPPES record last updated: February 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Patricia Diane Buckner Edd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA DIANE BUCKNER EDD (NPI 1215034764) is an individual clinical provider in Chattonooga, Tennessee, licensed in Tennessee (P0000001865) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1215034764

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NamePATRICIA DIANE BUCKNERCredential: EDD

Location Address6110 SHALLOWFORD RDChattonooga, TN 37421

Mailing Address7513 Dove Valley DriveNashville, TN 37221-2322 · (615) 662-8986

Phone(800) 632-6074

Fax(866) 341-7509

Sole ProprietorNo

Enumeration DateSeptember 19, 2006

Last NPPES UpdateFebruary 9, 2008

✔ NPI 1215034764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TN · P0000001865

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

6110 SHALLOWFORD RD, Chattonooga, TN 37421

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Other Names 1

Former Name (1)Patricia Diane Neilson Edd

Other Identifiers 2

Medicare PIN3686233TN

Medicaid3686238TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBEKAH GOOD DOREAU M.A.

Counselor (Mental Health)

6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421

Hamilton County (888) 291-4357

TODD DOUGLAS EATON PH.D.

Psychologist (Clinical)

6110 SHALLOWFORD RD, C O CRC
CHATTANOOGA, TN 37421

Hamilton County (800) 632-6074

KELLI CRAIG

Counselor (Mental Health)

6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421

Hamilton County (423) 499-1031

AMORA ANN GORDON

Social Worker

6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421

Hamilton County (765) 977-8671

BRIAN ALLEN KEPLINGER

Counselor (Mental Health)

6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421

Hamilton County (888) 291-4357

MARY IVON MONTGOMERY

Marriage & Family Therapist

6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421

Hamilton County (423) 499-1031

DERONEASHA SMARTT LMSW

Counselor

6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421

Hamilton County (423) 475-3109

MS. KAREN D WILLIS

Counselor (Mental Health)

6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421

Hamilton County (423) 499-1031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Buckner's NPI number?

The NPI number for Patricia Buckner is 1215034764. It was assigned to this individual provider in the NPPES registry on September 19, 2006. The provider is also known as Patricia Diane Neilson Edd.

Where is Patricia Buckner located?

Patricia Buckner practices at 6110 Shallowford Rd, Chattonooga, TN 37421. The listed phone number is (800) 632-6074.

What is Patricia Buckner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Patricia Buckner was last updated on February 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.