Individual provider Active NPI

Andrew C. Butler, PH.D.

  • Clinical Psychologist
  • Monterey, CA
National Provider Identifier
1821020553
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 20787 Issued in CA
Practice address
2100 Garden Rd
Ste a-102
Monterey, CA 93940-5366
Phone
(831) 372-3910
Fax
(866) 752-4401
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 20787 CA Primary

Addresses

Primary practice location

2100 Garden Rd
Ste a-102
Monterey, CA 93940-5366

Mailing address

2100 Garden Rd
Ste a-102
Monterey, CA 93940-5366
Phone (831) 372-3910

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 20787CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation of Cognitive Therapy and Research Clinical Past Accepting new patients
Interpersonal Solutions, Inc PastSince Jul 1, 2006 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821020553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GARDEN RD",
            "address_2": "STE A-102",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405366",
            "telephone_number": "831-372-3910",
            "fax_number": "866-752-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GARDEN RD",
            "address_2": "STE A-102",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405366",
            "telephone_number": "831-372-3910",
            "fax_number": "866-752-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ANDREW",
        "middle_name": "C.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.