Individual provider Active NPI

Michael Ray Butz, PH.D.

  • Clinical Psychologist
  • Billings, MT
National Provider Identifier
1497795694
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
365 Issued in MT
Practice address
1430 Country Manor Blvd
Ste. 5
Billings, MT 59102-7651
Phone
(406) 294-9677
Fax
(406) 294-9679
NPI assigned
Jun 7, 2006
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 365 MT Primary

Addresses

Primary practice location

1430 Country Manor Blvd
Ste. 5
Billings, MT 59102-7651

Mailing address

1430 Country Manor Blvd
Ste. 5
Billings, MT 59102-7651
Phone (406) 294-9677

Other identifiers 2

IdentifierTypeStateIssuer
0492643MedicaidMT
1203304 00MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000543 MT Practitioner - Clinical Psychologist 6002850070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

2900 12TH Ave N
Suite 280W
Billings, MT 59101-7516
Phone (406) 237-3585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
365MTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Nov 9, 2015 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Nov 9, 2015 Accepting new patients

Locations

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2900 12th Ave N
Ste 330W
Billings, MT 59101
Phone (406) 238-6161

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1497795694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COUNTRY MANOR BLVD",
            "address_2": "STE. 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027651",
            "telephone_number": "406-294-9677",
            "fax_number": "406-294-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 COUNTRY MANOR BLVD",
            "address_2": "STE. 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027651",
            "telephone_number": "406-294-9677",
            "fax_number": "406-294-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZ",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492643",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1203304  00",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.