Organization Active NPI

Butler Psychological Group, PLLC

  • Clinical Psychologist
  • Fresno, TX
National Provider Identifier
1740549823
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34589 Issued in TX
Legal business name
BUTLER PSYCHOLOGICAL GROUP, PLLC
Practice address
4031 Forest Teal CT
Fresno, TX 77545-8648
Phone
(832) 651-5518
NPI assigned
May 10, 2012
Last updated
Apr 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Dr. Eboni Tiana Butler, PSY.D.NPI 1972733723
Title
Clinical Psychologist
Phone
(832) 386-9449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34589 TX Primary

Addresses

Primary practice location

4031 Forest Teal CT
Fresno, TX 77545-8648

Mailing address

4031 Forest Teal CT
Fresno, TX 77545-8648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120601000260 TX Part B Supplier - Clinic/Group Practice 6002079092 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

6260 Westpark Dr
Ste 310
Houston, TX 77057
Phone (832) 386-9449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1740549823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 FOREST TEAL CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 FOREST TEAL CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458648",
            "telephone_number": "832-651-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER PSYCHOLOGICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "EBONI",
        "authorized_official_middle_name": "TIANA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "832-386-9449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.