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DR. EDWARD LEE BUTLER JR. PSYD
NPI 1417296005
Psychologist - Clinical in Chicago, IL

Active since February 03, 2013PECOS Enrolled
110 E 79TH ST, CHICAGO, IL 60619(773) 412-8912 Get Directions Write a Review

NPPES record last updated: February 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Lee Butler Jr. Psyd NPPES

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

DR. EDWARD LEE BUTLER JR. PSYD (NPI 1417296005) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071008366) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417296005
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EDWARD LEE BUTLER JR.Credential: PSYD
Location Address110 E 79TH STChicago, IL 60619-2302
Mailing Address8111 S Rhodes AveChicago, IL 60619-5023 · (773) 412-8912
Phone(773) 412-8912
Sole ProprietorYes
Enumeration DateFebruary 3, 2013
✔ NPI 1417296005 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 IL · 071008366
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.
110 E 79TH ST, Chicago, IL 60619
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Lee Butler Jr. Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60619 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 10

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

NUWAY COMMUNITY SERVICES, INC
Clinic/Center (Adult Mental Health)
110 E 79TH ST
CHICAGO, IL 60619
Cook County (773) 723-2790
SAYRE HEALTH SERVICES, LTD.
Chiropractor
110 E 79TH ST, SUITE 2
CHICAGO, IL 60619
Cook County (773) 874-2225
NUWAY BEHAVIORAL HEALTH CENTER
Clinic/Center (Adult Mental Health)
110 E 79TH ST
CHICAGO, IL 60619
Cook County (773) 723-2790
ESTABLISHING, MANGING AND GENERATING EFFECTIVE SERVICES
Community/Behavioral Health
110 E 79TH ST
CHICAGO, IL 60619
Cook County (773) 224-7386
CHICAGO DEPARTMENT OF PUBLIC HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
110 E 79TH ST, CHATHAM MENTAL HEALTH CENTER
CHICAGO, IL 60619
Cook County (312) 747-0901
DR. BEN JAMES WALLACE JR. D.D.S.
Dentist
110 E 79TH ST
CHICAGO, IL 60619
Cook County (773) 488-6000
DH MEDICAL GROUP SC
Family Medicine
110 E 79TH ST
CHICAGO, IL 60619
Cook County (773) 874-8200
NUWAY COMMUNITY SERVICES INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
110 E 79TH ST
CHICAGO, IL 60619
Cook County (773) 723-2790

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 Edward Butler's NPI number?

The NPI number for Edward Butler is 1417296005. It was assigned to this individual provider in the NPPES registry on February 3, 2013.

Where is Edward Butler located?

Edward Butler practices at 110 E 79th St, Chicago, IL 60619. The listed phone number is (773) 412-8912.

What is Edward Butler's specialty?

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

Is Edward Butler enrolled in Medicare?

Yes. Edward Butler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Butler was last updated on February 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.