R Randolph Butts PSYD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4732 Issued in FL

Legal business name

R RANDOLPH BUTTS PSYD PA

Practice address

8383 Seminole Blvd
Suite C
Seminole, FL 33772-4392

Phone

(727) 391-3893

Fax

(866) 582-0237

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Randolph Butts, PSY.D.

Title

President

Phone

(727) 391-3893

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marilyn Catharine Kisiel, L.C.S.W.

  • Clinical Social Worker
  • Clearwater, FL
  • NPI 1619950268
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1407973142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86071",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337386071",
            "telephone_number": "727-391-3893",
            "fax_number": "866-582-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 SEMINOLE BLVD",
            "address_2": "SUITE C",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724392",
            "telephone_number": "727-391-3893",
            "fax_number": "866-582-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R RANDOLPH BUTTS PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-391-3893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Purehealthy
• Allison Erin Hinson Quintin, ATC
• Tracy Radford
• Haily Radziseski, MD
• Rajendra a Karkare MD PA
• Monica Ramirez Pantoja, PHARMD
• Maher Rashid, DMD

• Clinical Psychologist in Seminole, FL
• Providers in Seminole, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.