DR. BUTLER NELSON (NPI# 1588614846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588614846 |
| Entity Type | Individual |
| Full Name | DR. BUTLER NELSON |
| Credential | PH.D. |
| Practice Address |
2931 Shattuck Ave Suite 101e Berkeley CA 94705-1808 |
| Mailing Address |
1400 Pinnacle Ct #203 Richmond CA 94801-4199 |
| Practice Telephone | 5105488980 |
| Practice Fax Number | 5103746777 |
| Mailing Telephone | 5105488980 |
| Mailing Fax Number | 5103746777 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MFT12314 | CA | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY13930 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY13930 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13930 | CA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY13930 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY13930 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY13930 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFT12314 | CA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY13930 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2931 SHATTUCK AVE SUITE 101E |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588653422 | Nikki N Sachs | Social Worker | 2931 Shattuck Ave, Ste 101, Berkeley, CA 94705-1808 | 2005-10-13 |
| 1134487143 | Katharine Whitney Mechem | Marriage & Family Therapist | 2931 Shattuck Ave, Suite 106, Berkeley, CA 94705-1808 | 2012-04-26 |
| 1205055282 | Rebecca Jean Palley | Marriage & Family Therapist | 2931 Shattuck Ave, Berkeley, CA 94705-1808 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241754 | Bede John Healey | Psychologist | 1371 La Loma Ave, Berkeley, CA 94708-2031 | 2020-06-30 |
| 1124683388 | Jason Craig Zeltser | Psychologist | 1708 Shattuck Ave Ste 9, Berkeley, CA 94709-1700 | 2019-05-03 |
| 1871157016 | Mary L Roche | Psychologist | 2955 Shattuck Ave Ste 3, Berkeley, CA 94705-1808 | 2019-04-23 |
| 1508320128 | Lauren Tolk | Psychologist | 1172 San Pablo Ave Ste 100, Berkeley, CA 94706-2258 | 2019-01-28 |
| 1336632876 | Jonathan Knight Howard | Psychologist | 2407 Dana St, Berkeley, CA 94704-2207 | 2018-06-09 |
| 1457866550 | Noah Bach Bar-tura | Psychologist | 2140 Shattuck Ave Ste 508, Berkeley, CA 94704-1222 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1881048775 | Phillip Montes | Psychologist | 2014 Channing Way Apt 3, Berkeley, CA 94704-1935 | 2016-04-18 |
| 1790199446 | Irene Chui | Psychologist | 1197 Sutter St, Berkeley, CA 94707-2637 | 2014-06-19 |
| 1629322763 | Roxanne Manning | Psychologist | 1325 Sacramento St, Apt 3, Berkeley, CA 94702-1235 | 2012-10-26 |
| Find all providers in BERKELEY | ||||
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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.