Individual provider Active NPI

Colby Douglas Butzon, PH.D.

  • Clinical Psychologist
  • Memphis, TN
National Provider Identifier
1023342136
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2905 Issued in TN
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

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103I680978OtherTNMEDICARE PTAN
1516308MedicaidTN

Other names 1

  • Dr. Colby B. Reed Former name

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

LicenseStateTypeSpecialty
2905TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates,PC PastSince Mar 30, 2025 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.

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.

Verify at the official NPI Registry.