Michael Butkus PHD LP PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301002043 Issued in MI

Legal business name

MICHAEL BUTKUS PHD LP PLLC

Practice address

43200 Dequindre Rd Ste 104
Sterling HTS, MI 48314-1707

Phone

(586) 799-4350

Fax

(586) 799-4279

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Michael Butkus, PH.D.NPI 1649262296

Title

Owner

Phone

(586) 219-6363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Michael Butkus, PHD

  • Clinical Psychologist
  • Sterling Heights, MI
  • NPI 1649262296
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1013460435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD STE 104",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350",
            "fax_number": "586-799-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD STE 104",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350",
            "fax_number": "586-799-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BUTKUS PHD LP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "BUTKUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-219-6363",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Medical Center (Sterling Medical Center)
• Madison Medical Center PC
• Marlene Tejano Mansour, MD
• Mapleview Diagnostic Center Inc
• Metro Family Support Counseling PC (none)
• Avi Michel
• Pamela Susan Michielutti, MSA-QUIDP
• Michigan First Home Care LLC
• Michigan's Dental Health Professional
• Bridget Miller, D.D.S., M.S.

• Clinical Psychologist in Sterling HTS, MI
• Providers in Sterling HTS, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.