Leanne Marie Buttross, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

37816 Issued in TX

Practice address

4646 Corona Dr Ste 258
Corpus Christi, TX 78411-4320

Phone

(405) 226-6610

Fax

(361) 400-5558

NPI assigned

Aug 1, 2007

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Coastal Bend Neuropsychology

  • Clinical Neuropsychologist
  • Corpus Christi, TX
  • NPI 1447897913
  Medicare reassignment NPD Authorized official
• Forducey Professional Consulting

  dba Pam Forducey, PhD

  • Adult Mental Health Clinic/Center
  • Edmond, OK
  • NPI 1689213936
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1821288267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 258",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114320",
            "telephone_number": "405-226-6610",
            "fax_number": "361-400-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 CORONA DR STE 258",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114320",
            "telephone_number": "405-226-6610",
            "fax_number": "361-400-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTROSS",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OK",
            "license": "985",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "37816",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37816",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266570",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valentina Bustamante, DO
• Anne Clarice Butler, PHYSICAL THERAPIST
• Cecilia Camille Butler
• Kacie Rebekah Butler
• William John Butler, LCSW
• Kayla Denise Butts, MS, RDN, LDN
• Deborah Lynn Bynum, PTA
• Byron Inc
• C C Prosthetics Inc (Hanger Clinic)
• C H Wilkinson Physician Network (CHRISTUS Physician Group)

• Clinical Neuropsychologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.