Active NPI
David C Butler, PH.D.
- Psychologist
- Potsdam, NY
National Provider Identifier
1255448486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006903
- Practice address
- 30 Main St
Potsdam, NY 13676-2077 - Phone
- (315) 265-4303
- Fax
- (315) 265-4303
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006903 | NY | Primary |
Addresses
Primary practice location
30 Main St
Potsdam, NY 13676-2077
Mailing address
30 Main St
Potsdam, NY 13676-2077
Phone (315) 265-4303
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255448486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MAIN ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136762077",
"telephone_number": "315-265-4303",
"fax_number": "315-265-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MAIN ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136762077",
"telephone_number": "315-265-4303",
"fax_number": "315-265-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "DAVID",
"middle_name": "C",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potsdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.