Butler Hospital

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

HOS00124 Issued in RI

Legal business name

BUTLER HOSPITAL

Practice address

345 Blackstone Blvd
Providence, RI 02906-4800

Phone

(401) 455-6200

Fax

(401) 455-6498

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen E Burke

Title

VP of Finance

Phone

(401) 455-6275

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Hospital certification: CCN 414000

Legal name

BUTLER HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Jul 1, 1966

Last certification

Jan 20, 2011

Beds

143

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Jan 1, 1844 in RI

Enrollment address

345 Blackstone Blvd
Providence, RI 29064800
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric

Listed as

Butler HospitalCCN 414000

Type

Psychiatric

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/713ac9f5-15a6-4520-831d-8a5ba81c49d0/

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kevin E. Baill, MD

  • Psychiatry Physician
  • Providence, RI
  • NPI 1114939170

  Corporate Director

  CMS ownership
• Ana Tuya Fulton, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Warwick, RI
  • NPI 1144273301

  Corporate Director

  CMS ownership
• Methodius G Tuuli, MD

  • Maternal & Fetal Medicine Physician
  • Providence, RI
  • NPI 1326225202

  Corporate Director

  CMS ownership

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Kent County Memorial Hospital

  • Rehabilitation Hospital Unit
  • Warwick, RI
  • NPI 1023017944

  Care New England Health Systems

  CMS ownership
• Kent County Memorial Hospital

  • General Acute Care Hospital
  • Warwick, RI
  • NPI 1386643294

  Care New England Health Systems

  CMS ownership
• Kent County Visiting Nurse Association

  • Home Health Agency
  • Warwick, RI
  • NPI 1043219553

  Care New England Health Systems

  CMS ownership
• Kent County Visiting Nurse Association

  • Community Based Hospice Care Agency
  • Warwick, RI
  • NPI 1093714545

  Care New England Health Systems

  CMS ownership
• Women & Infants Hospital of Rhode Island

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1447233788

  Care New England Health Systems

  CMS ownership

Practitioners 2

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

• Nicole L Flanagan

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1093757916
  NPD
• Nicole Vanessa Rivera, MD

  • Psychiatry Physician
  • Providence, RI
  • NPI 1356874085
  NPD

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1104801349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-455-6200",
            "fax_number": "401-455-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-455-6200",
            "fax_number": "401-455-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "401-455-6275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "RI",
            "license": "HOS00124",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4104000",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUB PART",
            "identifier": "1093831646",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnna Bussiere
• Julia Marie Bussolari, LICSW
• John Buster, MD
• Carol N Butera, NP
• James N. Butera, M.D.
• Carolyn Frances Butler, NURSE PRACTITIONER
• Christine B Butler, RNP
• Rebecca Butler, MS, OTR/L
• Robert Butler, M.D.
• Ryan Butler, B.A., LCDP

• Psychiatric Hospital in Providence, RI
• Providers in Providence, RI by specialty
• Psychiatric Hospital in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.