DR. JACQUELINE BUTLER PH.D.
NPI 1023120177
Psychologist in La Mesa, CA

Active since August 31, 2006
4700 SPRING ST, SUITE 204, LA MESA, CA 91941(619) 644-5750(619) 644-5751 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline Butler Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE BUTLER PH.D. (NPI 1023120177) is an individual psychologist in La Mesa, California, licensed in California (PSY19513) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023120177
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACQUELINE BUTLERCredential: PH.D.
Location Address4700 SPRING ST, SUITE 204La Mesa, CA 91941-5263
Mailing Address4180 Marian StLa Mesa, CA 91941-7426 · (619) 644-5750 · Fax (619) 644-5751
Fax(619) 644-5751
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1023120177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · PSY19513 Licensed in TN · P1690
Definition
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.
4700 SPRING ST, La Mesa, CA 91941

Other Identifiers 5

Medicare UPINQ22288CA
Other4385231CA · Aetna Insurance
Medicare ID-Type UnspecifiedCP19513CA
Medicaid8718236CA
Other4106863TN · Blue Cross Of Tn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4700 SPRING ST, SUITE 220
LA MESA, CA 91941
Marriage & Family Therapist
4700 SPRING ST, SUITE 204
LA MESA, CA 91941
Psychologist (Clinical)
4700 SPRING ST, SUITE 204
LA MESA, CA 91941
Psychiatry & Neurology (Psychiatry)
4700 SPRING ST, SUITE 220
LA MESA, CA 91941
Marriage & Family Therapist
4700 SPRING ST, STE 306
LA MESA, CA 91941
Dentist (General Practice)
4700 SPRING ST, SUITE 210
LA MESA, CA 91941
Social Worker (Clinical)
4700 SPRING ST, SUITE 220
LA MESA, CA 91941
Counselor (Professional)
4700 SPRING ST, 306
LA MESA, CA 91941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Butler's NPI number?

The NPI number for Jacqueline Butler is 1023120177. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jacqueline Butler located?

Jacqueline Butler practices at 4700 Spring St Suite 204, La Mesa, CA 91941. The listed phone number is (619) 644-5750.

What is Jacqueline Butler's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Butler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.