Individual provider Active NPI

Victoria A. Buttery, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1336510387
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
27434 Issued in CA
Practice address
2535 Camino del Rio S Ste 145
San Diego, CA 92108-3762
Phone
(619) 324-9908
NPI assigned
Oct 16, 2015
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 27434 CA Primary

Addresses

Primary practice location

2535 Camino del Rio S Ste 145
San Diego, CA 92108-3762

Mailing address

2535 Camino del Rio S Ste 145
San Diego, CA 92108-3762
Phone (619) 324-9908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 1, 2023 through Jun 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1336510387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S STE 145",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083762",
            "telephone_number": "619-324-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S STE 145",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083762",
            "telephone_number": "619-324-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERY",
        "first_name": "VICTORIA",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.