CHRISTOPHER MARK BUTTARAZZI (NPI# 1124448196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124448196 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MARK BUTTARAZZI |
| Credential | MD |
| Practice Address |
254 Western Ave South Portland ME 04106-2410 |
| Mailing Address |
190 Riverside St Unit 6b Portland ME 04103-1073 |
| Practice Telephone | 2076610440 |
| Practice Fax Number | 2076610444 |
| Mailing Telephone | 2076612000 |
| Mailing Fax Number | 2076612033 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD23032 | ME | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD23032 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 216 Vaughan St, Portland, ME 041023204 | 2076624480 | 2076623262 |
| Street Address |
254 WESTERN AVE |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881638 | Portland Orthopaedic Foot and Ankle Center | Orthopaedic Surgery | 254 Western Ave, South Portland, ME 04106-2410 | 2005-06-16 |
| 1205351699 | Adam Saltz | Dentist | 254 Western Ave, South Portland, ME 04106-2410 | 2017-08-07 |
| 1285065573 | Brian Townsend | Specialist/Technologist | 254 Western Ave, South Portland, ME 04106-2410 | 2013-12-11 |
| 1215234174 | Central Maine Partners In Health, LLC | Point of Service | 254 Western Ave, South Portland, ME 04106-2410 | 2011-02-11 |
| 1811010309 | Corey and Then Pa | Dentist | 254 Western Ave, South Portland, ME 04106-2410 | 2007-04-09 |
| 1760544522 | Margaret Derose Braga | Counselor | 254 Western Ave, South Portland, ME 04106-2410 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508091281 | Jonathan Carl Fellers | Psychiatry & Neurology | 550 Forest Ave Ste 103, Portland, ME 04101-1505 | 2009-05-25 |
| 1295875276 | Anthony J Kozma | Psychiatry & Neurology | 70 Center St Ste G7, Portland, ME 04101-3935 | 2007-02-07 |
| 1245325794 | Roger M Wilson | Psychiatry & Neurology | Dorothea Dix Agency, Bangor, ME 04401 | 2006-10-03 |
| 1821079237 | James Fine | Psychiatry & Neurology | 43 Hooper St., Wiscasset, ME 04578 | 2005-11-11 |
| 1457823817 | Jonathan C Fellers Md Pa LLC | Psychiatry & Neurology | 550 Forest Ave Ste 103, Portland, ME 04101-1505 | 2018-12-26 |
| 1689755530 | Broadleaf Behavioral Health PC | Psychiatry & Neurology | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2006-10-18 |
| 1265464614 | Edward A Mccarthy | Psychiatry & Neurology | 144 State St, Portland, ME 04101-3776 | 2006-07-07 |
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on CHRISTOPHER MARK BUTTARAZZI.
| 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.