Michelle Andrea Butler, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7574 Issued in FL

Practice address

37 Alafaya Woods Blvd
Girls and Boys Town
Oviedo, FL 32765

Phone

(407) 366-3667

Fax

(407) 965-5397

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1619067121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ALAFAYA WOODS BLVD",
            "address_2": "GIRLS AND BOYS TOWN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-366-3667",
            "fax_number": "407-965-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ALAFAYA WOODS BLVD",
            "address_2": "GIRLS AND BOYS TOWN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-366-3667",
            "fax_number": "407-965-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MICHELLE",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Burleigh
• Jubeth Carlene Burlison
• Natalie Burns
• Heather Anne Burroughs, MSW, LCSW
• Radha Burtch, M.D.
• Tranese Butler
• Margaret Suzanne Buzan, LCSW, DCSW
• C.H.a.N.G.E.S. Youth Services
• Daniela Caballero Varona
• Gerymarie Caban, OTR/L

• Psychologist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.