Organization Active NPI

Clinical & Forensic Institute

  • Forensic Psychologist
  • Davie, FL
National Provider Identifier
1386860856
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PY0006490 Issued in FL
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

Updated by the provider on Jan 22, 2009

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.NPI 1982820460
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY0006490 FL
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.