Dr Butler Nelson, PHD is a
Psychologist - Clinical based in Berkeley, California. Dr Butler Nelson is licensed to practice in California (license number PSY13930) and his current practice location is
2931 Shattuck Ave, Suite 101e, Berkeley, California. He can be reached at his office (for appointments etc.) via phone at
(510) 548-8980.
NPI number for Dr Butler Nelson is 1588614846 and his current mailing address is 1400 Pinnacle Ct, #203, Richmond, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588614846.
Healthcare Provider's Profile
| Full Name | Dr Butler Nelson |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 2931 Shattuck Ave, Berkeley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588614846
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 04/28/2016
Medical Identifiers
Medical identifiers for Dr Butler Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588614846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MFT12314 (California) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | PSY13930 (California) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY13930 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY13930 (California) | Primary |
| 103TC1900X | Psychologist - Counseling | PSY13930 (California) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY13930 (California) | Secondary |
| 103TF0000X | Psychologist - Family | PSY13930 (California) | Secondary |
| 103TH0004X | Psychologist - Health | PSY13930 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFT12314 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Butler Nelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Butler Nelson, PHD
1400 Pinnacle Ct, #203,
Richmond, CA 94801-4199
Ph: (510) 548-8980 | Dr Butler Nelson, PHD
2931 Shattuck Ave, Suite 101e,
Berkeley, CA 94705-1808
Ph: (510) 548-8980 |
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