Eboni Tiana Butler, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34589 Issued in TX

Practice address

4031 Forest Teal CT
Fresno, TX 77545-8648

Phone

(281) 431-5323

Fax

(281) 431-5324

NPI assigned

Jul 15, 2009

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Eboni Tiana Butler Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9404/brand/1/csg/1/fhir/r4

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.

• Butler Psychological Group, PLLC

  • Clinical Psychologist
  • Fresno, TX
  • NPI 1740549823
  Medicare reassignment Authorized official
• Amazing Healthcare Inc

  • Nurse Practitioner
  • Stafford, TX
  • NPI 1821354358
  Medicare reassignment NPD
• Wellspring Family & Community Institute, LLC

  • Professional Counselor
  • Houston, TX
  • NPI 1902243256
  Medicare reassignment NPD
• Belor Home Health, Inc

  • Home Health Agency
  • Houston, TX
  • NPI 1699863076
  NPD (past)
• Deer Oaks Geriatric Services P C

  dba Deer Oaks Consultation Services

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  NPD (past)
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1972733723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 FOREST TEAL CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458648",
            "telephone_number": "281-431-5323",
            "fax_number": "281-431-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 FOREST TEAL CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458648",
            "telephone_number": "281-431-5323",
            "fax_number": "281-431-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "EBONI",
        "middle_name": "TIANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2024-06-12",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34589",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONI",
            "last_name": "BUTLER",
            "middle_name": "TIANA",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Nicole Bryant
• Xavier Jay Burgess
• Kelwin Burke
• Mary Louise Burton
• Butler Psychological Group, PLLC
• C&J Healthcare Services LLC
• Candice Lucinda Caesar
• Cambridge Care Medical Lyft Service
• Care Central LLC (Care Central)
• Care for Community Services Inc

• Clinical Psychologist in Fresno, TX
• Providers in Fresno, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.