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DR. BUTLER NELSON PH.D. NPI 1588614846


NPI Information

NPI: 1588614846
Provider Name: DR. BUTLER NELSON, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
2931 SHATTUCK AVE
SUITE 101E
BERKELEY, CA
ZIP 94705
Phone: (510) 548-8980
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DR. Butler Nelson, PH.D. is a clinical psychologist in Berkeley, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Butler Nelson, PH.D. NPI is 1588614846. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2931 SHATTUCK AVE
SUITE 101E
BERKELEY, CA
ZIP 94705-808
Phone: (510) 548-8980
Fax: (510) 374-6777

The enumeration date for this NPI number is 5/10/2006 and was last updated on 4/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthMFT12314CALIFORNIANo
2103TA0700XPsychologistAdult Development & AgingPSY13930CALIFORNIANo
3103TB0200XPsychologistCognitive & BehavioralPSY13930CALIFORNIANo
4103TC1900XPsychologistCounselingPSY13930CALIFORNIANo
5103TC2200XPsychologistClinical Child & AdolescentPSY13930CALIFORNIANo
6103TF0000XPsychologistFamilyPSY13930CALIFORNIANo
7103TH0004XPsychologistHealthPSY13930CALIFORNIANo
8106H00000XMarriage & Family TherapistMFT12314CALIFORNIANo
9103TC0700XPsychologistClinicalPSY13930CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OOPL13930MEDICARE UPINCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.