DR. SUSAN REIS BUTLER


Address: 12962 Tesson Ferry Rd, Saint Louis, MO 63128-2915
Phone: 3148497177

DR. SUSAN REIS BUTLER (NPI# 1487612941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487612941
Entity Type Individual
Full Name DR. SUSAN REIS BUTLER
Credential DOCTORATE
Practice Address 12962 Tesson Ferry Rd
Saint Louis
MO 63128-2915
Mailing Address 7654 River Walk Ct
Saint Louis
MO 63129-5830
Practice Telephone 3148497177
Mailing Telephone 3148469616
Mailing Fax Number 3148463531
Enumeration Date 2006-05-03
Last Update Date 2019-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PYO 1451 MO Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
PYO 1451 MO Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
PYO 1451 MO Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
PYO 1451 MO Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
PYO1451 MO Behavioral Health & Social Service Providers

Other Providers SUSAN BUTLER

NPI Name Taxonomy Address Enumeration
1437515822 Susan Lyn Butler Counselor 122 Lee St, Carrollton, GA 30117-3315 2016-01-14
1912144841 Susan R Butler Marriage & Family Therapist 16659 Sw 90th Pl, Tigard, OR 97224-5440 2009-01-14
1013118843 Susan Tosh Butler Dermatology 301 Industrial Rd Fl 3, San Carlos, CA 94070-2603 2007-05-30
1811031214 Susan M Butler Physical Therapist 1200 E Michigan Ave Lowr Level, Lansing, MI 48912-1800 2007-02-18
1518011089 Susan Farist Butler Nurse Practitioner Tri City Mhc, 173 Chelsea St, Everett, MA 02149 2007-01-22
1801386099 Susan E Butler Psychologist 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 2018-05-14
1720525686 Susan Lynn Butler Social Worker 960 M 60 E, Cassopolis, MI 49031-9339 2017-01-30
1659827574 Susan M. Butler Pharmacist 100 N Academy Ave, Danville, PA 17822-9800 2016-08-31
1326418187 Susan Butler Nurse Practitioner 820 N Chelan Ave, Wenatchee, WA 98801-2028 2015-10-05
1881064905 Susan Butler Nurse Practitioner 206 S 6th Ave, West Reading, PA 19611-1411 2015-10-01

Office Location

Street Address 12962 TESSON FERRY RD
City SAINT LOUIS
State MO
Zip Code 63128-2915

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750994547 Ashley Brauer Psychologist 231 W Lockwood Ave Ste 202, Saint Louis, MO 63119-2951 2020-08-31
1538770284 Meigs Psychological Services LLC Psychologist 529 Newport Ave, Saint Louis, MO 63119-2517 2020-08-14
1235748773 Kendra Krietsch Psychologist 1 Childrens Pl # 3n-14, Saint Louis, MO 63110-1002 2020-07-30
1427674001 Laura Ellen Glover-orr Psychologist 5719 Delor St, Saint Louis, MO 63109-2831 2020-06-19
1356714893 Michelle Lynn Jochim Black Psychologist 3800 Park Ave, Saint Louis, MO 63110-2514 2015-11-05
1407267537 Therese Verkerke Cash Psychologist 6201 Murdoch Ave, Saint Louis, MO 63109-2747 2014-05-12
1205100054 Mark F Heiland, Phd, Licensed Psychologist, LLC Psychologist 4542 W Pine Blvd, Saint Louis, MO 63108-2186 2012-02-25
1952684995 Paul H Wang M Div Ph D & Associates P C Psychologist 225 S Meramec Ave Ste 213, Saint Louis, MO 63105-3511 2011-09-26
1679854194 Rae Alexandra Wilkerson Maixner Psychologist 1 Childrens Pl Ste 3n-14, Saint Louis, MO 63110-1002 2011-08-30
1679885677 Christian Psychological & Family Services Psychologist 9378 Olive Blvd Ste 106, Saint Louis, MO 63132-3222 2010-07-07
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Competitor

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City SAINT LOUIS
Zip Code 63128

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Dataset Information

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.

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