DR. ANDRE PAUL BUTEAU (NPI# 1518142041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518142041 |
| Entity Type | Individual |
| Full Name | DR. ANDRE PAUL BUTEAU |
| Credential | PH.D. |
| Practice Address |
Highway 475 South Hudspeth Regional Center Whitfield MS 39193-1032 |
| Mailing Address |
Po Box 127b Whitfield MS 39193-1032 |
| Practice Telephone | 6016646195 |
| Practice Fax Number | 6013596945 |
| Mailing Telephone | 6016646195 |
| Mailing Fax Number | 6013596945 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 33521 | MS | Behavioral Health & Social Service Providers |
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
33521 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00126594 | 05 |
| Street Address |
HIGHWAY 475 SOUTH HUDSPETH REGIONAL CENTER |
| City | WHITFIELD |
| State | MS |
| Zip Code | 39193-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
| 1114210630 | Hudspeth Regional Center | Dentist | Highway 475 South, Whitfield, MS 39193 | 2011-05-17 |
| 1801186770 | Stephanie Harris | Dentist | Highway 475 South, Whitfield, MS 39193-1032 | 2011-04-13 |
| 1043536535 | Hudspeth Regional Center | Custodial Care Facility | Highway 475 South, Whitfield, MS 39193 | 2010-04-09 |
| 1841513280 | Hudspeth Regional Center | Case Management | Highway 475 South, Whitfield, MS 39193-1032 | 2010-03-11 |
| 1205159746 | Hudspeth Regional Center | In Home Supportive Care | Highway 475 South, Whitfield, MS 39193 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150116 | Juletta Chisholm | Nurse Practitioner | 100 Hudspeth Center Dr, Whitfield, MS 39193 | 2018-04-02 |
| 1295014744 | Shazia Mulkana Frothingham | Psychologist | Building 51/psychological Services, Mississippi State Hospital, Whitfield, MS 39193 | 2011-08-15 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1447315411 | Hudspeth Center Pharmacy | Pharmacy | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2006-12-27 |
| 1598750135 | Mississippi State Hospital | Pharmacy | 3550 Highway 468 W, Whitfield, MS 39193 | 2005-09-20 |
| 1346234184 | Hudspeth Center Pharmacy | Intermediate Care Facility, Mentally Retarded | Highway 475, Whitfield, MS 39193 | 2005-09-08 |
| 1598256018 | Katherine Willoughby Carter | Occupational Therapist | 157 Building #27, Whitfield, MS 39193 | 2018-05-21 |
| 1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
| 1356482459 | Khaled Nadim Abu-hamdan | Psychiatry & Neurology | 3550 Highway 468 West, Whitfield, MS 39193 | 2007-02-09 |
| 1841633260 | Andrea M. Walls | Case Manager/Care Coordinator | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-04-16 |
| Find all providers in zip 39193 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598127771 | Gulf Coast Mental Health Center | Psychologist | 1110 42nd Ave, Gulfport, MS 39501-2663 | 2016-03-25 |
| 1417934175 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2005-12-23 |
| 1861715773 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2010-03-05 |
| 1306178694 | Region 8 Mh/mr Commission | Psychologist | 613 Marquette Road, Brandon, MS 39042 | 2010-02-11 |
| 1326138025 | Aleshia Moffett | Psychologist | 3407 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1952491664 | Rosemary M Bishop | Psychologist | 57 Industrial Park Road, Lucedale, MS 39452 | 2006-10-13 |
Please comment or provide details below to improve the information on DR. ANDRE PAUL BUTEAU.
| 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.