MR. LARRY BUTLER (NPI# 1306115613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306115613 |
| Entity Type | Individual |
| Full Name | MR. LARRY BUTLER |
| Credential | CASAC |
| Practice Address |
567 E 105th St Brooklyn NY 11236-2213 |
| Practice Telephone | 7183073103 |
| Practice Fax Number | 7183073020 |
| Mailing Telephone | 7183073103 |
| Mailing Fax Number | 7183073020 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18053 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | METHADONE CLINIC | 261QM2800X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138103 | Larry Brock Butler | Student in an Organized Health Care Education/Training Program | 495 S 900 E Apt 8, St George, UT 84770-3860 | 2020-06-15 |
| 1316137110 | Larry Burkard Butler | Dentist | 1029 Leighton Ave, Anniston, AL 36207-5701 | 2007-07-27 |
| 1164407250 | Larry Butler | Orthotist | 7625 Us Highway 64, Suite 103, Memphis, TN 38133-4066 | 2005-12-12 |
| 1649273426 | Larry B Butler | Dentist | 6519 Stadium Dr, Zephyrhills, FL 33542-7567 | 2005-05-24 |
| 1366722928 | Larry A Butler | Pharmacist | 600 Villa St, Elgin, IL 60120-6720 | 2011-08-26 |
| 1053352500 | Larry S. Butler | Obstetrics & Gynecology | 3213 Summit Square Pl, Suite 200, Lexington, KY 40509-2636 | 2006-06-08 |
| 1740267616 | Larry James Butler | Surgery | 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909-5533 | 2005-12-30 |
| Street Address |
567 E 105TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730458175 | Cheryl Rovendro | Registered Nurse | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-14 |
| 1639702624 | Rene Belony | Registered Nurse | 567 E 105th St, Brooklyn, NY 11236-2213 | 2020-02-18 |
| 1568092278 | Cassandra Brown | Nurse Practitioner | 567 E 105th St, Brooklyn, NY 11236-2213 | 2020-01-22 |
| 1912568551 | Cecile Spence | Registered Nurse | 567 E 105th St, Brooklyn, NY 11236-2213 | 2019-06-25 |
| 1881963379 | Patricia Collazos | Counselor | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-29 |
| 1003185216 | Robert Stanley Burch | Counselor | 567 E 105th St, Canarsie Multi Service Center, Brooklyn, NY 11236-2213 | 2011-12-16 |
| 1699044909 | Rosemary Giordano | Registered Nurse | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-16 |
| 1619246923 | Ivica Dumont | Counselor | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-16 |
| 1811266257 | Elizabeth J Wiggins | Registered Nurse | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-14 |
| 1003185448 | Danielle Krizni | Counselor | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
| 1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
| 1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
| 1386251304 | Sylvia Ann Ford-williams | Counselor | 100 N Portland Ave Rm B214, Brooklyn, NY 11205-2005 | 2020-09-24 |
| 1295349124 | Joanne Garcia | Counselor | 545 Hegeman Ave, Brooklyn, NY 11207-7017 | 2020-09-08 |
| 1467061622 | Karin Kemp | Counselor | 584 E 29th St Apt 3c, Brooklyn, NY 11210-1427 | 2020-07-23 |
| 1942828553 | Jorge Luis Delgado | Counselor | 3178 Bayview Ave Apt 6b, Brooklyn, NY 11224-1838 | 2020-07-09 |
| 1861018137 | Javier Duran | Counselor | 800 Poly Pl Apt 2, Brooklyn, NY 11209-7104 | 2020-06-22 |
| 1336783331 | Alemash Asfaw | Counselor | 175 Remsen St Ste 9, Brooklyn, NY 11201-4333 | 2019-11-01 |
| 1639739071 | Ciera Dashawn Andrews | Counselor | 2857 Seamon Ave, Brooklyn, MD 21225-1160 | 2019-06-18 |
| Find all providers in BROOKLYN | ||||
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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.