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ALAN BUTLER PSY.D.
NPI 1255707717
Psychologist - Clinical in Tamuning, GU

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
790 GOV CARLOS G CAMACHO RD, TAMUNING, GU 96913(671) 647-5440 Get Directions Write a Review

NPPES record last updated: June 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alan Butler Psy.d. NPPES

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

ALAN BUTLER PSY.D. (NPI 1255707717) is an individual clinical provider in Tamuning, Guam, licensed in Guam (CP-055) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255707717
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameALAN BUTLERCredential: PSY.D.
Location Address790 GOV CARLOS G CAMACHO RDTamuning, GU 96913-3129
Mailing AddressPo Box 3455Hagatna, GU 96932-3455 · (671) 727-7508
Phone(671) 647-5440
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 18, 2015
Last NPPES UpdateJune 18, 2023
NPPES CertifiedJune 18, 2023
✔ NPI 1255707717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GU · CP-055
Definition
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.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alan Butler Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799129524
PECOS Enrollment IDI20240220001569
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Alan Butler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ocean Medical Group LLC
Family Medicine
655 HARMON LOOP RD STE 108
Dededo, GU 96929
  • Reassigned Medicare billing, Guam enrollment
  • 6 clinicians in this Medicare group
NPI 1235791203 (671) 633-4447
Todu Guam Foundation Ltd
Family Medicine
125 TUN JESUS CRISOSTOMO ST STE 104
Tamuning, GU 96913
  • Reassigned Medicare billing, Guam enrollment
  • 9 clinicians in this Medicare group
NPI 1063150530 (671) 649-8638

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.05 typical visit price
range $60.53 – $180.05
Typical copayment $45.01 (range $15.13 – $45.01)
Most-billed visit code 99205
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

MS. LOUISE MCINTYRE TOVES M.A., CSAC III, LPC
Counselor (Professional)
790 GOV CARLOS G CAMACHO RD
TAMUNING, GU 96913
Guam (671) 475-5440
KENDRA TAYLOR
Counselor (Mental Health)
790 GOV CARLOS G CAMACHO RD
TAMUNING, GU 96913
Guam (671) 685-7012
DR. SHANTAI MCDERMOTT DNP
Nurse Practitioner (Psychiatric/Mental Health)
790 GOV CARLOS G CAMACHO RD
TAMUNING, GU 96913
Guam (671) 647-5440
BEVERLY GRACE DELOS REYES M.A., L.P.C.
Counselor (Professional)
790 GOV CARLOS G CAMACHO RD
TAMUNING, GU 96913
Guam (671) 647-5440
MISS RETHELJE ANN FINONA M.A. LPC
Counselor (Professional)
790 GOV CARLOS G CAMACHO RD
TAMUNING, GU 96913
Guam (671) 647-5447
JAMES PHILIP COOPER-NURSE PHD, LMHC
Counselor (Mental Health)
790 GOV CARLOS G CAMACHO RD
TAMUNING, GU 96913
Guam (671) 647-1902
MR. ARIEL ARCEO ISMAEL MD
Psychiatry & Neurology (Psychiatry)
790 GOV CARLOS G CAMACHO RD
TAMUNING, GU 96913
Guam (671) 647-5345
JULIO J. GOMEZ
Social Worker (Clinical)
790 GOV CARLOS G CAMACHO RD
TAMUNING, GU 96913
Guam (671) 475-5440

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 Alan Butler's NPI number?

The NPI number for Alan Butler is 1255707717. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Alan Butler located?

Alan Butler practices at 790 Gov Carlos G Camacho Rd, Tamuning, GU 96913. The listed phone number is (671) 647-5440.

What is Alan Butler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alan Butler enrolled in Medicare?

Yes. Alan Butler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alan Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Butler reassigns Medicare benefits to 2 organizations: Blue Ocean Medical Group LLC (Dededo, GU) and Todu Guam Foundation Ltd (Tamuning, GU). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alan Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alan Butler was last updated on June 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.