Organization Active NPI

Meghan Butler PSYD LLC

  • Psychologist
  • Glastonbury, CT
National Provider Identifier
1740611284
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
003145 Issued in CT
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

Updated by the provider on Mar 30, 2017

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
008037122MedicaidCT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.