Active NPI
Clinical & Forensic Institute
- Forensic Psychologist
- Davie, FL
National Provider Identifier
1386860856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PY0006490
- Legal business name
- CLINICAL & FORENSIC INSTITUTE
- Practice address
- 4801 S University Dr
Suite 301-East
Davie, FL 33328-3839 - Phone
- (954) 434-8006
- Fax
- (954) 434-0147
- NPI assigned
- Apr 17, 2007
- 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. Lori Jane Butts, J.D., PH.D.
- Title
- President
- Phone
- (954) 434-8006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0006490 | FL | |
| Forensic Psychologist | 103TF0200X | PY0006490 | FL | Primary |
Addresses
Primary practice location
4801 S University Dr
Suite 301-East
Davie, FL 33328-3839
Mailing address
4801 S University Dr
Suite 301-East
Davie, FL 33328-3839
Phone (954) 434-8006
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Davie, FL
- NPI 1982820460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232582400000",
"number": "1386860856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S UNIVERSITY DR",
"address_2": "SUITE 301-EAST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283839",
"telephone_number": "954-434-8006",
"fax_number": "954-434-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S UNIVERSITY DR",
"address_2": "SUITE 301-EAST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283839",
"telephone_number": "954-434-8006",
"fax_number": "954-434-0147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL & FORENSIC INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2009-01-22",
"status": "A",
"authorized_official_last_name": "BUTTS",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-434-8006",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "J.D., PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0006490",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "FL",
"license": "PY0006490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.