Active NPI
Grant Butterbaugh PHD LLC
- Clinical Neuropsychologist
- New Orleans, LA
National Provider Identifier
1194129445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 681
- Legal business name
- GRANT BUTTERBAUGH PHD LLC
- Practice address
- 3525 Prytania St
Suite 309
New Orleans, LA 70115-3500 - Phone
- (504) 309-9855
- Fax
- (504) 814-4346
- NPI assigned
- Oct 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grant Jackson Butterbaugh Jr., PH.D.
- Title
- Manager
- Phone
- (504) 309-9855
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 681 | LA | Primary |
| Clinical Psychologist | 103TC0700X | 681 | LA |
Addresses
Primary practice location
3525 Prytania St
Suite 309
New Orleans, LA 70115-3500
Mailing address
3525 Prytania St
Suite 309
New Orleans, LA 70115-3500
Phone (504) 309-9855
National Provider Directory
National Provider DirectoryLocations
3525 Prytania St
Ste 309
New Orleans, LA 70115
Phone (504) 488-8852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417651200000",
"number": "1194129445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 PRYTANIA ST",
"address_2": "SUITE 309",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153500",
"telephone_number": "504-309-9855",
"fax_number": "504-814-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 PRYTANIA ST",
"address_2": "SUITE 309",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153500",
"telephone_number": "504-309-9855",
"fax_number": "504-814-4346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT BUTTERBAUGH PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-15",
"last_updated": "2014-12-04",
"status": "A",
"authorized_official_last_name": "BUTTERBAUGH",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "JACKSON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "504-309-9855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "LA",
"license": "681",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "681",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.