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CALLIE JANE BUCHAN
NPI 1356949648
Counselor - Mental Health in New York, NY

Active since October 09, 2020PECOS Enrolled
109 E 115TH ST, NEW YORK, NY 10029(212) 633-9300 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 27, 2026, Jan 15, 2026, Oct 9, 2020 (3 updates tracked since 2020).

About Callie Jane Buchan NPPES

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

CALLIE JANE BUCHAN (NPI 1356949648) is an individual mental health provider in New York, New York, licensed in New York (014351) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356949648
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCALLIE JANE BUCHAN
Location Address109 E 115TH STNew York, NY 10029-1186
Mailing Address590 Avenue Of AmericasNew York, NY 10011
Phone(212) 633-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 9, 2020
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1356949648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 014351
109 E 115TH ST, New York, NY 10029
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Callie Jane Buchan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072094176
PECOS Enrollment IDI20260226002521
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Callie Buchan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Foundling
Same address
Adolescent and Children Mental Health
109 E 115TH ST
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1649442229 (917) 485-7280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DOROTHY JADA RYDER
Psychologist
109 E 115TH ST
NEW YORK, NY 10029
New York County (646) 663-0117
TAYYAB CHOUDHRY
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (929) 545-4861
LAURA DUBINSKY
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 660-8150
MS. DYLAN SHAYLA CLAY-DEVLIN
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300
BRITTANI MONIQUE BOVELL
Social Worker
109 E 115TH ST
NEW YORK, NY 10029
New York County (917) 485-7280
KATHERINE RODRIGUEZ MS, MHC-LP
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (347) 306-8537
STEPHANIE MARIE HENDERSON LMSW
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300
SHANNON MARKS
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300

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 Callie Buchan's NPI number?

The NPI number for Callie Buchan is 1356949648. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Callie Buchan located?

Callie Buchan practices at 109 E 115th St, New York, NY 10029. The listed phone number is (212) 633-9300.

What is Callie Buchan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Callie Buchan enrolled in Medicare?

Yes. Callie Buchan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Callie Buchan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Callie Buchan reassigns Medicare benefits to New York Foundling (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Callie Buchan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Callie Buchan was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.