DR. JACQUELINE BUTLER (NPI# 1023120177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023120177 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE BUTLER |
| Credential | PH.D. |
| Practice Address |
4700 Spring St Suite 204 La Mesa CA 91941-5263 |
| Mailing Address |
4180 Marian St La Mesa CA 91941-7426 |
| Practice Telephone | 6196445750 |
| Practice Fax Number | 6196445751 |
| Mailing Telephone | 6196445750 |
| Mailing Fax Number | 6196445751 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY19513 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | P1690 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AETNA INSURANCE | 4385231 | 01 |
| CA | 8718236 | 05 | |
| TN | BLUE CROSS OF TN | 4106863 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457912735 | Jacqueline Butler | Registered Nurse | 10570 W Us Highway 60 Apt 55, Canyon, TX 79015-5750 | 2019-06-26 |
| 1205330230 | Jacqueline Butler | Social Worker | Care Dimensions, 125 Winter Street, Lincoln, MA 01773 | 2018-03-23 |
| 1386173250 | Jacqueline Butler | Contractor | 7120 Valley Ave, Philadelphia, PA 19128-3206 | 2017-06-05 |
| 1386782993 | Jacqueline Denise Butler | Counselor | 522 S Independence Blvd, Ste 105, Virginia Beach, VA 23452-1149 | 2007-02-03 |
| 1750947073 | Jacqueline Butler | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-13 |
| 1225481716 | Jacqueline Butler | Occupational Therapy Assistant | 785 Orchard Dr, Suite 120, Folsom, CA 95630-5557 | 2016-07-19 |
| 1568728103 | Jacqueline Fontenot Butler | Emergency Medicine | 2901 N Fourth St, Emergency Room, Longview, TX 75605 | 2012-04-09 |
| 1720391956 | Jacqueline Butler | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2010-07-16 |
| 1851559108 | Jacqueline Butler | Physician Assistant | 880 Morris Ave, Bronx, NY 10451-3412 | 2008-05-22 |
| 1750555918 | Jacqueline Shawn Butler | Speech-Language Pathologist | 1300 Jackson St, Alexandria, LA 71301-6929 | 2008-04-18 |
| Street Address |
4700 SPRING ST SUITE 204 |
| City | LA MESA |
| State | CA |
| Zip Code | 91941-5263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749964 | Peggy Macy | Social Worker | 4700 Spring St, Ste 204, La Mesa, CA 91941-5263 | 2005-09-09 |
| 1104217801 | Counseling & Behavioral Specialists | Community/Behavioral Health | 4700 Spring St, Ste 203, La Mesa, CA 91942-0263 | 2015-02-17 |
| 1437564507 | Stephen L. Chan, D.m.d, Inc. | Dentist | 4700 Spring St, Ste. 210, La Mesa, CA 91942-0263 | 2014-06-26 |
| 1154756518 | Labrie S French-asaro | Marriage & Family Therapist | 4700 Spring St, Suite 220, La Mesa, CA 91942-0263 | 2013-09-04 |
| 1598101297 | Counseling & Behavioral Specialsts, Marriage, Family, Child Counseling | Community/Behavioral Health | 4700 Spring St, Ste 203, La Mesa, CA 91942-0263 | 2013-05-21 |
| 1013254713 | Robert M Katnik | Psychologist | 4700 Spring St, #220, La Mesa, CA 91942-0263 | 2013-01-15 |
| 1699010264 | Micaela Sarah Cappa | Marriage & Family Therapist | 4700 Spring St, Ste 203, La Mesa, CA 91942-0263 | 2012-12-07 |
| 1801178249 | Miranda Rose Roth Kelsch | Marriage & Family Therapist | 4700 Spring St, #220, La Mesa, CA 91942-0263 | 2011-09-12 |
| 1700170651 | Loralisa M Rocca | Social Worker | 4700 Spring St, Suite 204, La Mesa, CA 91942-0263 | 2011-06-07 |
| 1275826935 | James Paul Serio | Marriage & Family Therapist | 4700 Spring St, Suite 306, La Mesa, CA 91942-0263 | 2011-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
| 1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
| 1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
| 1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
| 1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407010663 | Patricia Bauer | Psychologist | 4700 Spring St 204, La Mesa, CA 91942-0273 | 2008-07-16 |
| 1346314044 | Maria I. Frailey | Psychologist | 8355 La Mesa Blvd, La Mesa, CA 91942-9249 | 2006-11-17 |
| 1699849299 | Cynthia Ann Thayer | Psychologist | 4700 Spring Street, Suite 204, La Mesa, CA 91941 | 2006-11-17 |
| 1912914375 | Thomas Allen Keller | Psychologist | 7863 La Mesa Blvd, Suite 102, La Mesa, CA 91941-3657 | 2006-08-01 |
| 1083655328 | Gayle Lynnette Jensen | Psychologist | 4323 Palm Ave Ste D, La Mesa, CA 91941-6597 | 2006-06-09 |
| 1598702029 | Stephen Papaleo | Psychologist | 5400 Connecticut Ave, Suite E, La Mesa, CA 91942-1213 | 2006-06-01 |
| 1235196411 | Chad K Hybarger | Psychologist | 7171 Alvarado Rd Ste 100a, La Mesa, CA 91942-8996 | 2006-04-29 |
| 1053398222 | Lindsey Stroben Alper | Psychologist | 8318 University Ave, Suite A4, La Mesa, CA 91941 | 2005-12-28 |
| 1457345357 | Jeannine Ann Feldman | Psychologist | 7840 El Cajon Blvd, Ste 301, La Mesa, CA 91941-3600 | 2005-09-07 |
| 1013482140 | Rhombus | Psychologist | 8058 La Mesa Blvd, La Mesa, CA 91942-0335 | 2018-10-04 |
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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.