Patrick Butler, MS
Individual provider Active NPI School Psychologist · Wantagh, NY
NPI 1154897213 · NPPES record last updated Oct 16, 2018
Key facts
- NPI
- 1154897213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1257688181 (NY)
- Practice address
- 1032 Barrie Ave
Wantagh, NY 11793-1704 - Phone
- (516) 592-7668
- NPI assigned
- Oct 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1257688181 | NY | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1257688181 | NY | Yes |
Addresses
Primary practice location
1032 Barrie Ave
Wantagh, NY 11793-1704
Mailing address
1032 Barrie Ave
Wantagh, NY 11793-1704
Phone (516) 592-7668
Other providers in Wantagh, NY
- Nicole Marie Buffolino
- Jamie Bunsis
- Amanda Denise Buonora
- David M Burgess
- Christine A Burrows
- Theresa C Byrne
- Dianne Caduhada
- Kaitlin Cahill
- Taylor Calabrese
- Cristina Calandra
All providers in Wantagh, NY · School Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.