KELLY J. BUTLER (NPI# 1518960681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518960681 |
| Entity Type | Individual |
| Full Name | KELLY J. BUTLER |
| Credential | MD |
| Practice Address |
510 Spring St Jeffersonville IN 47130-3554 |
| Practice Telephone | 8122821888 |
| Practice Fax Number | 8122858392 |
| Mailing Telephone | 8122821888 |
| Mailing Fax Number | 8122858392 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34651 | KY | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01053711A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE GROUP | 160780 | 01 |
| KY | PASSPORT GROUP | 2444451000 | 01 |
| MAGELLAN MIS GROUP | 50704000 | 01 | |
| KY | 64029762 | 05 | |
| KY | 78903689 | 05 | |
| KY | MEDICARE RAILROAD | P00289124 | 01 |
| ANTHEM GROUP | 000000056294 | 01 | |
| KY | PASSPORT | 2709741000 | 01 |
| KY | 82900176 | 05 | |
| ANTHEM | 000000239719 | 01 | |
| MAGELLAN MIS # | 264003000 | 01 | |
| KY | MEDICARE GROUP | 6764 | 01 |
| GROUP NPI # | 1063415297 | 01 | |
| KY | 65927857 | 05 | |
| KY | PASSPORT ADVANTAGE | 2709741000 | 01 |
| IN | RAILROAD MEDICARE GROUP | CG3623 | 01 |
| KY | RAILROAD MEDICARE GROUP | CK2274 | 01 |
| IN | MEDICAID GROUP | 100386460 | 01 |
| IN | 200319860A | 05 | |
| IN | MEDICARE RAILROAD | 260047968 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Cabarrus Ave E, Concord, NC 280253699 | 8888497379 | 8558577333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720445018 | Kelly Butler | Physical Therapist | 319 Runnymede Ave, Jenkintown, PA 19046-2022 | 2016-01-18 |
| 1568750271 | Kelly Brooke Butler | Occupational Therapy Assistant | 3940 Lee Jackson Hwy, Greenville, VA 24440-1705 | 2011-07-14 |
| 1699953885 | Kelly Lynn Butler | Counselor | 307 Congress St, Portland, ME 04101-3638 | 2008-02-10 |
| 1639119969 | Kelly Ann Butler | Dentist | 11517 Pacific Ave S, Tacoma, WA 98444-5535 | 2006-06-07 |
| 1427669092 | Kelly Lee Butler | Behavior Technician | 3070 Riverside Dr Ste 200, Columbus, OH 43221-2547 | 2020-08-16 |
| 1538565718 | Kelly Butler | Specialist/Technologist | 1150 Campo Sano Ave, Suite 200, Coral Gables, FL 33146-1174 | 2014-11-14 |
| 1386916120 | Kelly Jean Butler | Physician Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2012-02-08 |
| 1801179882 | Kelly Butler | Pharmacist | 5830 N Clinton St, Fort Wayne, IN 46825-5734 | 2011-09-26 |
| 1366744971 | Kelly Dione Butler | Case Manager/Care Coordinator | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2010-12-02 |
| 1164623534 | Kelly A Butler | Pharmacist | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2007-05-31 |
| Street Address |
510 SPRING ST |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415297 | Park View Psychiatric Services, Psc | Social Worker | 510 Spring St, Jeffersonville, IN 47130-3554 | 2005-05-23 |
| 1154978732 | Anna Maria Reyes-crawhorn | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2019-08-20 |
| 1124598669 | Lake Substance Abuse Solutions LLC | Psychologist | 510 Spring St, Jeffersonville, IN 47130-3554 | 2018-11-27 |
| 1144775826 | Elizabeth Ann Smoot | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2016-08-23 |
| 1871927822 | William T Lavely | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2013-08-27 |
| 1609186063 | Jessica E Meredith | Social Worker | 510 Spring St, Jeffersonville, IN 47130-3554 | 2010-10-19 |
| 1609183987 | Donna R Spears | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2010-09-08 |
| 1669791430 | James H Overfelt | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2010-05-19 |
| 1942523030 | Kathryn M Davis | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2010-03-04 |
| 1033440029 | Mary Charlene Mcandrews | Registered Nurse | 510 Spring St, Jeffersonville, IN 47130-3554 | 2010-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497909576 | Jeuti B. Wylde, Md Psc | Psychiatry & Neurology | 1114 E. 10th St., Jeffersonville, IN 47130-4227 | 2008-11-16 |
| 1811069081 | Emily Joyce Stapp | Psychiatry & Neurology | 1572 Plank Rd, Jeffersonville, IN 47130-4250 | 2006-11-14 |
| 1033142104 | The Neuropsychiatric Group | Psychiatry & Neurology | 104 Egypt Rd, Jeffersonville, PA 19403-3029 | 2006-07-09 |
| 1578507257 | Beverly G Wheeler | Psychiatry & Neurology | 534 E Court Ave, Jeffersonville, IN 47130-4028 | 2006-06-15 |
| 1790782662 | Helen Q Guerrero | Psychiatry & Neurology | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5989 | 2005-07-07 |
| 1740285741 | Jeuti B Wylde | Psychiatry & Neurology | 1035 Wall St, Suite 102, Jeffersonville, IN 47130-3612 | 2005-06-16 |
| 1396941175 | Mashiur Rahman Khan | Psychiatry & Neurology | 2420 E 10th St, Jeffersonville, IN 47130-7303 | 2007-06-26 |
| 1427108471 | Sheryl Schneider | Psychiatry & Neurology | 460 Spring St, Jeffersonville, IN 47130-3452 | 2007-01-11 |
| 1902955313 | Laura S Mueller | Psychiatry & Neurology | 460 Spring St, Jeffersonville, IN 47130-3452 | 2007-01-09 |
| 1891843322 | Daniel M Howerton | Psychiatry & Neurology | 460 Spring St, Jeffersonville, IN 47130-3452 | 2007-01-08 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
Please comment or provide details below to improve the information on KELLY J. BUTLER.
| 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.