JESSICA MARIE BUTALA DO NPI 1578983854

NPI Information

NPI: 1578983854
Provider Name: JESSICA MARIE BUTALA, DO
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
2402 ATHERHOLT RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 947-5967
Get Directions

Jessica Marie Butala, DO is a child and adolescent psychiatry psychiatry neurology in Lynchburg, VA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Jessica Marie Butala, DO NPI is 1578983854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2402 ATHERHOLT RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 947-5967

The NPI 1578983854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 1/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	OS019421	PENNSYLVANIA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	0102205632	VIRGINIA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	0102205632	VIRGINIA	Yes
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	OSO19421	PENNSYLVANIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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