Active NPI
Vikki Twynette Gaskin-Butler, PH.D.
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1750046017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6274
- Practice address
- 3607 Deruyter Cir
Charlotte, NC 28269-9707 - Phone
- (321) 948-4401
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9892 | FL | |
| Clinical Psychologist | 103TC0700X | 002648 | GA | |
| Clinical Psychologist | 103TC0700X | 6274 | NC | Primary |
Addresses
Primary practice location
3607 Deruyter Cir
Charlotte, NC 28269-9707
Mailing address
3020 Prosperity Church Rd Ste I
Charlotte, NC 28269-8100
Phone (321) 948-4401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9892 | FL | MD | Clinical Psychologist |
| 002648 | GA | MD | Internal Medicine Physician |
| 6274 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1750046017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 PROSPERITY CHURCH RD STE I",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282698100",
"telephone_number": "321-948-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 DERUYTER CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282699707",
"telephone_number": "321-948-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASKIN-BUTLER",
"first_name": "VIKKI",
"middle_name": "TWYNETTE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "9892",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "002648",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "6274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.