Active NPI
Colby Douglas Butzon, PH.D.
- Clinical Psychologist
- Memphis, TN
National Provider Identifier
1023342136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2905
- Practice address
- 3876 New Covington Pike
Memphis, TN 38128-2512 - Phone
- (901) 377-2711
- Fax
- (901) 382-9051
- NPI assigned
- Sep 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2905 | TN | Primary |
| Psychologist | 103T00000X | 2905 | TN |
Addresses
Primary practice location
3876 New Covington Pike
Memphis, TN 38128-2512
Mailing address
1211 Union Ave Ste 330
Memphis, TN 38104-6655
Other practice location 1
51 N Dunlap St Fl 3
Memphis, TN 38105-4625
Phone (901) 523-2945
Other practice location 2
806 Estate Pl
Memphis, TN 38120-0600
Phone (901) 767-3620
Other practice location 3
711 Jefferson Ave
Memphis, TN 38105-5003
Phone (901) 448-6511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I680978 | Other | TN | MEDICARE PTAN |
| 1516308 | Medicaid | TN |
Other names 1
- Dr. Colby B. Reed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2905 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates,PC | Past | Accepting new patients | |
| University of Tennessee | Past | Accepting new patients |
Networks
- MS PPO C-SNP
- MS PPO D-SNP
- MS PPO
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1699947432
-
- Developmental Disabilities Clinic/Center
- Memphis, TN
- NPI 1427064880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1023342136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 UNION AVE STE 330",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3876 NEW COVINGTON PIKE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282512",
"telephone_number": "901-377-2711",
"fax_number": "901-382-9051"
}
],
"practiceLocations": [
{
"address_1": "51 N Dunlap St Fl 3",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381054625",
"country_code": "US",
"telephone_number": "901-523-2945",
"fax_number": "901-523-8488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "806 Estate Pl",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381200600",
"country_code": "US",
"telephone_number": "901-767-3620",
"fax_number": "901-683-0285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "711 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381055003",
"country_code": "US",
"telephone_number": "901-448-6511",
"fax_number": "901-448-7097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTZON",
"first_name": "COLBY",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "2905",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "2905",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I680978",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1516308",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLBY",
"last_name": "REED",
"middle_name": "B.",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.