Active NPI
Stephen F Butler, PH.D.
- Psychologist
- Amherst, NH
National Provider Identifier
1316008162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 572
- Practice address
- 26 Blueberry Hill Rd
Amherst, NH 03031 - Phone
- (603) 673-1317
- NPI assigned
- Dec 13, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 572 | NH | Primary |
| Psychologist | 103T00000X | 6434 | MA |
Addresses
Primary practice location
26 Blueberry Hill Rd
Amherst, NH 03031
Mailing address
PO Box 1209
Amherst, NH 03031-1209
Phone (603) 673-1317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004858 | Medicaid | NH |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6434 | MA | MD | Psychologist |
| 572 | NH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316008162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1209",
"city": "AMHERST",
"state": "NH",
"postal_code": "030311209",
"telephone_number": "603-673-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BLUEBERRY HILL RD",
"city": "AMHERST",
"state": "NH",
"postal_code": "03031",
"telephone_number": "603-673-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "STEPHEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "572",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6434",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004858",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.