MR. MAURICE BUTLER JR. (NPI# 1841346095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841346095 |
| Entity Type | Individual |
| Full Name | MR. MAURICE BUTLER JR. |
| Credential | BCBA |
| Practice Address |
4942 Noel Mission Dr Memphis TN 38125-4783 |
| Practice Telephone | 9018702341 |
| Practice Fax Number | 9017556805 |
| Mailing Telephone | 9018702341 |
| Mailing Fax Number | 9017556805 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1-06-2770 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285063305 | Maurice Butler | Social Worker | 3849 Envision Ter, Bowie, MD 20716-3228 | 2013-11-08 |
| 1619054384 | Maurice Butler | Specialist | 2440 M St Nw, Washington, DC 20037-1404 | 2006-11-01 |
| Street Address |
4942 NOEL MISSION DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-4783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053446757 | Kenneth Michael Macurik | Psychologist | 3543 Philwood Ave, Memphis, TN 38122-4557 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351766 | Superior Residential Solutions, LLC | Psychologist | 5225 Rocky Ford Ln, Arlington, TN 38002-4833 | 2018-09-25 |
| 1265681936 | Paul R. Malanga | Psychologist | 9395 Garden Woods Dr, Cordova, TN 38016-4729 | 2008-09-17 |
| 1194999615 | Nicole Marie Bichelman | Psychologist | 862 Winterfields Dr., Cordova, TN 38018-7965 | 2008-04-15 |
| 1700071651 | Timothy Cripps | Psychologist | 1778 Penshurst Dr, Collierville, TN 38017-9104 | 2007-09-12 |
| 1770776858 | Carrie Peacock | Psychologist | 1155 Cully Rd, Cordova, TN 38018-8502 | 2007-08-22 |
| 1801007984 | David H. Craig | Psychologist | 202 Sunnymeade Dr, Columbia, TN 38401-5225 | 2007-05-24 |
| 1689796500 | Liming Zhou | Psychologist | 6117 Lamb Woods Dr, Bartlett, TN 38135-9256 | 2007-04-03 |
| 1629108642 | George Elliott Zukotynski | Psychologist | 3229 Nolen Ln, Franklin, TN 37064-6222 | 2007-03-07 |
| 1316988579 | Michael E Rohr | Psychologist | 550 Lazenby Dr, Somerville, TN 38068-5030 | 2006-06-09 |
| 1396200424 | Gary Brown | Psychologist | 302 Broadway St, Martin, TN 38237-2455 | 2019-02-02 |
| Find all providers with the same taxonomy | ||||
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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.