Kolette A Butler, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

004926 Issued in AZ

Practice address

2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764

Phone

(480) 322-5720

Fax

(480) 448-1582

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Verdant Hope Therapy & Evaluations LLC

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1992661128
  NPD Authorized official

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1598222879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 E ENCANTO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055322",
            "telephone_number": "480-322-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WILLIAMS FIELD RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950764",
            "telephone_number": "480-322-5720",
            "fax_number": "480-448-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KOLETTE",
        "middle_name": "A",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "004926",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "004926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L Bustillo, PT, DPT
• Mikayla Butkus, PMHNP-BC
• Demario Butler
• Keith Claude Butler, MD MBA FACEP CPE
• Kim-Ellen Butler, SLP
• Mikal I Butler
• Blair T Butterfield, D.O.
• Emily Danielle Butters, PT, DPT
• Sarah Elizabeth Buttles
• Shantere Buze, LAC

• Clinical Psychologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.