DR. COLBY BUTZON REED (NPI# 1023342136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023342136 |
| Entity Type | Individual |
| Full Name | DR. COLBY BUTZON REED |
| Other Name | DR. COLBY D. BUTZON |
| Credential | PH.D. |
| Practice Address |
711 Jefferson Ave Memphis TN 38105-5003 |
| Practice Telephone | 9014486511 |
| Practice Fax Number | 9014487097 |
| Mailing Telephone | 9014486511 |
| Mailing Fax Number | 9014487097 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2012-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P0000002905 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE PTAN | 103I680978 | 01 |
| TN | 1516308 | 05 |
| Street Address |
711 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921226 | Ronald Rafael Espinal | Pediatrics | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2005-09-06 |
| 1043822711 | Alexandra Marie Vohs | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-08-23 |
| 1487276523 | Shana Jen Crispin | Social Worker | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-05-12 |
| 1699305102 | Elizabeth Adams | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-01-23 |
| 1023677028 | Katherine Eileen O'bar | Dietitian, Registered | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-06-12 |
| 1659831451 | Philip A Norfolk | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-03-20 |
| 1780140376 | Takiiah Parker | Behavioral Analyst | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-02-19 |
| 1811467731 | Jessica M James | Behavior Technician | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-12-04 |
| 1619472065 | Jaime Tolleth | Behavioral Analyst | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-03-28 |
| 1255849691 | Michelle Elizabeth Pleasant | Behavior Technician | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805031 | Jasmine Jones | Psychologist | 516 Tennessee St Ste 225, Memphis, TN 38103-4717 | 2019-08-09 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1265950919 | Memphis Center for Mindful Living, LLC | Psychologist | 4646 Poplar Ave Ste 435, Memphis, TN 38117-4443 | 2017-09-01 |
| 1053869354 | Kimberly Noel Fleming | Psychologist | 512 Alexander St, Memphis, TN 38111-4310 | 2016-09-14 |
| 1003230350 | Kyong Han | Psychologist | 6401 Poplar Ave Ste 420, Memphis, TN 38119-4806 | 2014-02-06 |
| 1578997615 | William Leslie Fulliton | Psychologist | 1407 Union Ave Ste 1407, Memphis, TN 38104 | 2013-08-26 |
| 1073862827 | Joann Paula Raby | Psychologist | 5119 Summer Ave Ste 233, Memphis, TN 38122-4417 | 2012-09-06 |
| 1922236546 | Robert Allen Neimeyer | Psychologist | Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 | 2009-06-23 |
| 1477753564 | Meghan Eileen Mcdevitt-murphy | Psychologist | 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 | 2007-07-18 |
| 1508086976 | Charlotte L Kennedy | Psychologist | 4953 W Old Farm Rd, Memphis, TN 38125-3706 | 2007-04-26 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.