Robert Randolph Butts, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0004732 Issued in FL

Practice address

6333 54TH Ave N
St Petersburg, FL 33709-1703

Phone

(727) 548-6100

Fax

(727) 545-0960

NPI assigned

Jul 19, 2006

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Medical Pain Management LLCGroup PAC ID 8224195235, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11884/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Medical Pain Management LLC

  • Interventional Pain Medicine Physician
  • St Petersburg, FL
  • NPI 1588852776
  Medicare reassignment Care Compare group NPD
• Allen Lindsay, PH.D, PA

  dba Behavioral Neuropsychology and Rehabilibation

  • Clinical Psychologist
  • St Pete Beach, FL
  • NPI 1932345873
  NPD (past)
• Benjamin N Cohen PHD PA

  • Counseling Psychologist
  • Tarpon Springs, FL
  • NPI 1750503363
  NPD (past)
• Florida Pain Management

  • Interventional Pain Medicine Physician
  • St Petersburg, FL
  • NPI 1730288176
  NPD (past)
• Syed K Zaidi MD PA

  dba Addiction and Psychiatric Care

  • Addiction Psychiatry Physician
  • Pinellas Park, FL
  • NPI 1285894675
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1265451462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100",
            "fax_number": "727-545-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100",
            "fax_number": "727-545-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "ROBERT",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Butler
• Sherri Lin Butler, O.D.
• Sakina Mykea Butt, PSY.D., ABPP-CN
• Lauren Elizabeth Butterfield, M.D.
• Butterfly Manor Inc
• Whitney Butts
• Suleman Bux
• Danielle Alexis Buyea, LMT
• Taylor Robin Buzzard, APRN
• Sheron Angela Bygraves, LPN

• Clinical Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.