Active NPI
Meghan Butler PSYD LLC
- Psychologist
- Glastonbury, CT
National Provider Identifier
1740611284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 003145
- Legal business name
- MEGHAN BUTLER PSYD LLC
- Practice address
- 200 Oak St
Suite C
Glastonbury, CT 06033-2320 - Phone
- (860) 657-8868
- Fax
- (860) 657-8802
- NPI assigned
- Dec 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Meghan Butler, PSYD
- Title
- Owner
- Phone
- (860) 657-8868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 003145 | CT | Primary |
Addresses
Primary practice location
200 Oak St
Suite C
Glastonbury, CT 06033-2320
Mailing address
200 Oak St
Glastonbury, CT 06033-2320
Phone (860) 657-8868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008037122 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
200 Oak St
Ste C
Glastonbury, CT 06033
Phone (860) 657-8868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490832000000",
"number": "1740611284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OAK ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332320",
"telephone_number": "860-657-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OAK ST",
"address_2": "SUITE C",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332320",
"telephone_number": "860-657-8868",
"fax_number": "860-657-8802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEGHAN BUTLER PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-10",
"last_updated": "2017-03-30",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "MEGHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-657-8868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CT",
"license": "003145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008037122",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.