Active NPI
Jay M Butterman, D.O.
- Psychiatry Physician
- Port St Lucie, FL
National Provider Identifier
1285716605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS19435
- Practice address
- 12320 SW Coastal Oak Dr
Port St Lucie, FL 34987-6926 - Phone
- (817) 937-3982
- NPI assigned
- Oct 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | J1626 | TX | |
| Psychiatry Physician | 2084P0800X | OS19435 | FL | Primary |
Addresses
Primary practice location
12320 SW Coastal Oak Dr
Port St Lucie, FL 34987-6926
Mailing address
12320 SW Coastal Oak Dr
Port St Lucie, FL 34987-6926
Phone (817) 937-3982
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS19435 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1285716605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12320 SW COASTAL OAK DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349876926",
"telephone_number": "817-937-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12320 SW COASTAL OAK DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349876926",
"telephone_number": "817-937-3982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTERMAN",
"first_name": "JAY",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "J1626",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS19435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.