Active NPI
Julia Butler, PHD
- Clinical Psychologist
- Clovis, CA
National Provider Identifier
1689098683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30710
- Practice address
- 3489 Portals Ave
Clovis, CA 93619-8983 - Phone
- (559) 355-2715
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30710 | CA | Primary |
Addresses
Primary practice location
3489 Portals Ave
Clovis, CA 93619-8983
Mailing address
3489 Portals Ave
Clovis, CA 93619-8983
Phone (559) 355-2715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reedley Community Hospital | Current | Accepting new patients | |
| Reedley Community Hospital | Current | Accepting new patients | |
| Los Gatos Therapy Center | Past | Accepting new patients | |
| LGTC Inc | Past | Accepting new patients | |
| WK Medical Group | Clinical | Past | Accepting new patients |
| LGTC Group | Past | Accepting new patients |
Locations
1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
-
- Rural Health Clinic/Center
- Earlimart, CA
- NPI 1821699620
-
- Marriage & Family Therapist
- San Jose, CA
- NPI 1881482941
-
- Registered Dietitian
- San Jose, CA
- NPI 1710749494
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1518600972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1689098683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3489 PORTALS AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198983",
"telephone_number": "559-355-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3489 PORTALS AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198983",
"telephone_number": "559-355-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.