Active NPI
Barika Marise Butler-Quarles, MD
- Child & Adolescent Psychiatry Physician
- Grosse Pointe, MI
National Provider Identifier
1033249255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 4301088119
- Practice address
- 18530 Mack Ave
116
Grosse Pointe, MI 48236-3254 - Phone
- (313) 855-5745
- Fax
- (313) 355-1567
- NPI assigned
- Mar 6, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301088119 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301088119 | MI | Primary |
Addresses
Primary practice location
18530 Mack Ave
116
Grosse Pointe, MI 48236-3254
Mailing address
18530 Mack Ave # 163
Grosse Pointe Farms, MI 48236-3254
Phone (313) 855-5745
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0930480 | Other | MI | BCBS |
| 1250684 | Other | MI | CIGNA |
| 600704916 | Other | MI | MAGELLAN |
| 9080659 | Other | MI | AETNA/COFINITY |
| 683816 | Other | MI | VALUE OPTIONS |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088119 | MI | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1033249255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18530 MACK AVE # 163",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363254",
"telephone_number": "313-855-5745",
"fax_number": "313-355-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18530 MACK AVE",
"address_2": "116",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482363254",
"telephone_number": "313-855-5745",
"fax_number": "313-355-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER-QUARLES",
"first_name": "BARIKA",
"middle_name": "MARISE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2023-08-23",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301088119",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301088119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0930480",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1250684",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "600704916",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/COFINITY",
"identifier": "9080659",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "683816",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.