GRANT BUTTERBAUGH PHD LLC (NPI# 1194129445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194129445 |
| Entity Type | Organization |
| Organization Name | GRANT BUTTERBAUGH PHD LLC |
| Practice Address |
3525 Prytania St Suite 309 New Orleans LA 70115-3500 |
| Practice Telephone | 5043099855 |
| Practice Fax Number | 5048144346 |
| Mailing Telephone | 5043099855 |
| Mailing Fax Number | 5048144346 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | DR. GRANT JACKSON BUTTERBAUGH JR. (MANAGER) |
| Authorized Official Telephone | 5043099855 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
681 | LA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 681 | LA | Behavioral Health & Social Service Providers |
| Street Address |
3525 PRYTANIA ST SUITE 309 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070378 | Alfredo Vichot | Internal Medicine | 3525 Prytania St, Suite 309, New Orleans, LA 70115-3500 | 2005-08-19 |
| 1063951119 | Millenium Telepsychiatry, LLC | Psychiatry & Neurology | 3525 Prytania St, Suite 526, New Orleans, LA 70115-3500 | 2017-02-21 |
| 1770025702 | Shira Glazer | Dentist | 3525 Prytania St, Suite 312, New Orleans, LA 70115-3500 | 2016-11-08 |
| 1528412988 | Shira Glazer | Clinic/Center | 3525 Prytania St, Ste. 312, New Orleans, LA 70115-3500 | 2016-04-21 |
| 1740659663 | Stacey Flanagan Lowentritt | Social Worker | 3525 Prytania St, Suite 402, New Orleans, LA 70115-3500 | 2015-09-21 |
| 1295125789 | Aaij Home Health Agency LLC | Home Health | 3525 Prytania St, Suite 609, New Orleans, LA 70115-3500 | 2015-02-04 |
| 1235527029 | Suzanne De Boisblanc Tyler | Dietitian, Registered | 3525 Prytania St, Suite 526, New Orleans, LA 70115-3500 | 2014-12-31 |
| 1144642091 | Kathy Bernstein | Nurse Practitioner | 3525 Prytania St, Suite 526, New Orleans, LA 70115-3500 | 2014-01-13 |
| 1801135124 | Godbey-care LLC | Clinic/Center | 3525 Prytania St, Suite 430, New Orleans, LA 70115-3500 | 2013-02-06 |
| 1245585264 | Brittany Milligan Prater | Audiologist-Hearing Aid Fitter | 3525 Prytania St, Suite 606, New Orleans, LA 70115-3500 | 2012-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841776077 | Anneliese Catherine Boettcher | Clinical Neuropsychologist | 1514 Jefferson Hwy Fl 6, New Orleans, LA 70121-2429 | 2018-07-11 |
| 1184967499 | Julie Anne Alvarez | Clinical Neuropsychologist | 1555 Poydras St Ste 1200, Southeast Louisiana Veterans Health Care System, New Orleans, LA 70112-3710 | 2013-04-04 |
| 1003165069 | Dian Evans | Clinical Neuropsychologist | 7000 Magazine St, New Orleans, LA 70118-4876 | 2012-09-06 |
| 1508072216 | John Truman Fanning | Clinical Neuropsychologist | 4440 Canal Street, New Orleans, LA 70119-6021 | 2007-05-16 |
| 1194139550 | Robert John Sawyer II | Clinical Neuropsychologist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2014-06-13 |
| 1245500404 | Rebecca Rothbaum | Clinical Neuropsychologist | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2012-01-05 |
| 1336419597 | Catherine Kiracofe | Clinical Neuropsychologist | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2012-01-05 |
| 1760786255 | Margaret J Hauck | Clinical Neuropsychologist | 131 S Robertson St, 14 Floor, New Orleans, LA 70112-2807 | 2010-12-27 |
| 1851534242 | Maryellen Romero | Clinical Neuropsychologist | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2009-04-14 |
| 1043394414 | John Edmund Mendoza | Clinical Neuropsychologist | 1601 Perdido St, 10g, New Orleans, LA 70112 | 2006-10-24 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
Please comment or provide details below to improve the information on GRANT BUTTERBAUGH PHD LLC.
| 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.