Active NPI
Michelle Butler
- Clinical Psychologist
- Longwood, FL
National Provider Identifier
1295975969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7574
- Legal business name
- MICHELLE BUTLER
- Practice address
- 2170 W. State Road 434
Longwood, FL 32779 - Phone
- (407) 733-2326
- Fax
- (407) 327-9058
- NPI assigned
- Feb 20, 2009
- 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. Michelle Andrea Butler, PSYD
- Title
- Clinical Psycholgist
- Phone
- (407) 733-2626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7574 | FL | Primary |
Addresses
Primary practice location
2170 W. State Road 434
Longwood, FL 32779
Mailing address
564 Green Spring Cir
Winter Springs, FL 32708-3012
Phone (407) 733-2326
National Provider Directory
National Provider DirectoryLocations
2170 W State Road 434
Longwood, FL 32779
Phone (407) 733-2326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1295975969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 GREEN SPRING CIR",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327083012",
"telephone_number": "407-733-2326",
"fax_number": "407-327-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 W. STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32779",
"telephone_number": "407-733-2326",
"fax_number": "407-327-9058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE BUTLER",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "ANDREA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLGIST",
"authorized_official_telephone_number": "407-733-2626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.