Active NPI
Lauren Butler, PSYD
- Psychologist
- Annapolis, MD
National Provider Identifier
1558986331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 06577
- Practice address
- 611 Ridgely Ave
Annapolis, MD 21401-1069 - Phone
- (619) 538-4750
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31194 | CA | |
| Psychologist | 103T00000X | 06577 | MD | Primary |
Addresses
Primary practice location
611 Ridgely Ave
Annapolis, MD 21401-1069
Mailing address
611 Ridgely Ave
Attn: Lauren Butler, PSYD
Annapolis, MD 21401
Phone (619) 538-4750
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 |
|---|---|---|---|
| PSY31194 | CA | MD | Clinical Psychologist |
| 06577 | MD | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1558986331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 RIDGELY AVE",
"address_2": "ATTN: LAUREN BUTLER, PSYD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "21401",
"telephone_number": "619-538-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 RIDGELY AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011069",
"telephone_number": "619-538-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31194",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "06577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.