DR. MICHAEL AVERY BUTTERS (NPI# 1669479812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669479812 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL AVERY BUTTERS |
| Credential | PHD |
| Practice Address |
Naval Medical Center 100 Brewster Blvd Camp Lejeune NC 28547-2538 |
| Practice Telephone | 9104498877 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | P1468 | TN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1245 | NC | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
P1468 | TN | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1245 | NC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
P1468 | TN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1245 | NC | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
P1468 | TN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
1245 | NC | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
P1468 | TN | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
P1468 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000945139A | 05 | |
| TN | TRICARE | 24384503737404 | 01 |
| TN | GEORGIA ST. HEALTH BENEFI | 52257721 | 01 |
| TN | CARITEN HEALTHCARE | 602002477 | 01 |
| TN | TAT | 00020015027 | 01 |
| PA | AETNA | 0004218053 | 01 |
| TN | BLUE CROSS/BLUE SHIELD | 0108655 | 01 |
| TN | CIGNA BEHAVIORAL HEALTH | 26099 | 01 |
| TN | VALUE OPTIONS | 029428 | 01 |
| TN | COMPSYCH CORPORATION | 172965 | 01 |
| Street Address |
NAVAL MEDICAL CENTER 100 BREWSTER BLVD |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089295 | Margaret Anne Ackley | Clinical Neuropsychologist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2005-08-09 |
| 1588122667 | Nathan Meier | Military Health Care Provider | Naval Medical Center, 100 Brewster Blvd., Camp Lejeune, NC 28547-2538 | 2019-03-07 |
| 1386125474 | Colby T Burns | Pharmacist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2018-08-27 |
| 1710483623 | Anthony John Angelone | Student in an Organized Health Care Education/Training Program | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2018-04-01 |
| 1619488822 | Patricia Ann Horn | Nurse Practitioner | Naval Medical Center, 100 Brewster Blvd., Camp Lejeune, NC 28547-2538 | 2017-10-14 |
| 1568982296 | Kristy Dyan Stroble | Physical Therapist | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2017-06-23 |
| 1932629102 | Alexandra Elizabeth Hall | Physician Assistant | Naval Medical Center, 100 Brewster Boulevard, Camp Lejeune, NC 28547-2538 | 2017-06-20 |
| 1083147060 | Derek Edward Weiss | Physician Assistant | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2017-04-06 |
| 1508224445 | Andrew Carl Ellis | Physician Assistant | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2016-02-07 |
| 1053677641 | Garrett M. Harp | Internal Medicine | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2012-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| 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 |
|---|---|---|---|---|
| 1730739079 | George Dabdoub | Psychologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-09-18 |
| 1457825945 | Emily Russell | Psychologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-01-17 |
| 1376078402 | Sean M Fowler | Psychologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2017-04-26 |
| 1790117919 | Alexandra Joy Scott | Psychologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2013-07-30 |
| 1730402033 | Scottie E Knox | Psychologist | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2010-03-02 |
| 1710040753 | Sue C Graves II | Psychologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2006-12-19 |
| 1407933146 | Chris Dunbar Wellford | Psychologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2006-11-01 |
| 1114007002 | Steven Gerald Blaum | Psychologist | 100 Brewster Blvd, Naval Hospital Camp Lejeune, Camp Lejeune, NC 28547 | 2006-10-16 |
| 1568448009 | Clarence Craig Farmer | Psychologist | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338749 | Akaosa Onuma Eleanya | Psychologist | 4413 Wedgewood Dr, Raleigh, NC 27604-5098 | 2020-08-24 |
| 1720698939 | Blue Ridge Behavior Systems Inc | Psychologist | 16147 Lancaster Hwy Ste 110, Charlotte, NC 28277-4196 | 2020-08-03 |
| 1538778584 | Stephanie Goodson | Psychologist | 1638 Lookout Cir, Waxhaw, NC 28173-8085 | 2020-07-27 |
| 1205453388 | Gregory A Welikson, Phd, Pllc | Psychologist | 1334 Daventry Ct, Chapel Hill, NC 27517-9412 | 2020-07-06 |
| 1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1932746294 | Lindsay Pulver | Psychologist | 3501 Sherbourne Ln, Greensboro, NC 27405-4964 | 2019-12-05 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
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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.