Active NPI
Alyssa Button, PHD
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1730923400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810008473
- Practice address
- 2305 N Parham Rd Ste 1
Richmond, VA 23229-3156 - Phone
- (804) 828-4758
- Fax
- (804) 527-4728
- NPI assigned
- Jun 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810008473 | VA | Primary |
| Clinical Psychologist | 103TC0700X | 1676 | LA |
Addresses
Primary practice location
2305 N Parham Rd Ste 1
Richmond, VA 23229-3156
Mailing address
4611 2ND St N
Arlington, VA 22203-2604
Phone (716) 860-4561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1676 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients |
Locations
2305 N Parham Rd
Richmond, VA 23229
Phone (804) 346-3077
2305 N Parham Rd
Ste 1
Richmond, VA 23229
Phone (804) 527-4712
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1730923400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 2ND ST N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222032604",
"telephone_number": "716-860-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 N PARHAM RD STE 1",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232293156",
"telephone_number": "804-828-4758",
"fax_number": "804-527-4728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTON",
"first_name": "ALYSSA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-19",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810008473",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1676",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.