Alyssa Rose Buthman, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6301019855 Issued in MI

Practice address

380 Parkland PLZ Ste 110
Ann Arbor, MI 48103-6201

Phone

(630) 310-1065

NPI assigned

Sep 17, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1427960244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 LA SALLE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081987",
            "telephone_number": "630-310-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 PARKLAND PLZ STE 110",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036201",
            "telephone_number": "630-310-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTHMAN",
        "first_name": "ALYSSA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301019855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginette Vachon Busschots, MD
• Cristina Bustamante, PA-C
• Jessica Rena Bustamante, RN
• Serah M Busu-Sanga, PMHNP-BC
• Jennifer Lynn Butcher, PHD
• Elizabeth D Butka, RE
• Alyssa Nicole Butler, MSW
• Barbara Bernard Butler, PT
• Casey Butler, MSW
• Kristen Butler

• Clinical Child & Adolescent Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.