Active NPI
Gregory C Butler
- Clinical Psychologist
- Fresno, CA
National Provider Identifier
1407034671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10844
- Practice address
- 7170 N Financial Dr
Suite 102
Fresno, CA 93720-2939 - Phone
- (559) 930-4206
- Fax
- (559) 449-2733
- NPI assigned
- Feb 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10844 | CA | Primary |
Addresses
Primary practice location
7170 N Financial Dr
Suite 102
Fresno, CA 93720-2939
Mailing address
7170 N Financial Dr
Suite 102
Fresno, CA 93720-2939
Phone (559) 930-4206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY108440 | Other | MEDICAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10844 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1407034671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7170 N FINANCIAL DR",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202939",
"telephone_number": "559-930-4206",
"fax_number": "559-449-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7170 N FINANCIAL DR",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202939",
"telephone_number": "559-930-4206",
"fax_number": "559-449-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "GREGORY",
"middle_name": "C",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-09",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "PSY108440",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.