Active NPI
Maurice Butler Jr., BCBA
- Intellectual & Developmental Disabilities Psychologist
- Memphis, TN
National Provider Identifier
1841346095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 1-06-2770
- Practice address
- 4942 Noel Mission Dr
Memphis, TN 38125-4783 - Phone
- (901) 870-2341
- Fax
- (901) 755-6805
- NPI assigned
- Jan 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 1-06-2770 | TN | Primary |
Addresses
Primary practice location
4942 Noel Mission Dr
Memphis, TN 38125-4783
Mailing address
4942 Noel Mission Dr
Memphis, TN 38125-4783
Phone (901) 870-2341
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841346095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4942 NOEL MISSION DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254783",
"telephone_number": "901-870-2341",
"fax_number": "901-755-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4942 NOEL MISSION DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254783",
"telephone_number": "901-870-2341",
"fax_number": "901-755-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MAURICE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "TN",
"license": "1-06-2770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.