Mathew David Butler, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

LSP.01106 Issued in OH

Practice address

28080 Lemoyne Rd
Millbury, OH 43447-9747

Phone

(419) 661-6540

NPI assigned

Feb 7, 2014

Last updated

Sep 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1811311103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28080 LEMOYNE RD",
            "city": "MILLBURY",
            "state": "OH",
            "postal_code": "434479747",
            "telephone_number": "419-661-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 LEMOYNE RD",
            "city": "MILLBURY",
            "state": "OH",
            "postal_code": "434479747",
            "telephone_number": "419-661-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MATHEW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.01106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Bell, MA, CCC-SLP
• Jordan Boss
• Alyssa Ducat, COTA/L
• Madalyn Caroline Espinosa
• Peter G Fellman
• Emma Ryan Fetterman
• Denise Gomez

• School Psychologist in Millbury, OH
• Providers in Millbury, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.