Tayyba G Buttar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

237299 Issued in MA

Practice address

3736 Old Vineyard Rd
Old Vineyard Behavioral Health Services
Winston Salem, NC 27284

Phone

(336) 794-3556

NPI assigned

May 5, 2009

Last updated

Jul 21, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Keystone WSNC LLC

  dba Old Vineyard Physician Group

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1780817452
  Medicare reassignment NPD
• Triad Psychiatric and Counseling Center PA

  dba TPCC, PA

  • Psychiatry Physician
  • Greensboro, NC
  • NPI 1285671602
  Medicare reassignment NPD
• Keystone WSNC, LLC

  dba Old Vineyard Behavioral Health Services

  • Psychiatric Hospital
  • Winston Salem, NC
  • NPI 1922038082
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972737922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MEADOWLANDS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076026",
            "telephone_number": "704-214-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 OLD VINEYARD RD",
            "address_2": "OLD VINEYARD BEHAVIORAL HEALTH SERVICES",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "336-794-3556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Dolley Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274104283",
            "country_code": "US",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTAR",
        "first_name": "TAYYBA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "183978",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "237299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karena Nicole Butler, DNP, PMHNP-BC
• Kelsey Butler
• Marcella Maria Butler, MD
• Susan Butler, SLP
• William Nicholas Butler, MD
• Butterflies and Bumblebees 1, LLC
• Ashley Church Byrd, NNP-BC
• Charnele Devone Byrd
• Cynthia Jones Byrd, RD, LDN
• Janna Byrd, LCMHCA

• Psychiatry Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.