JESSICA MARIE BUTALA DO NPI 1578983854

NPI Information

  • NPI: 1578983854
  • Provider Name: JESSICA MARIE BUTALA, DO
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2402 ATHERHOLT RD
    LYNCHBURG, VA
    ZIP 24501
  • Phone: (434) 947-5967

Map and Directions

Get Directions

NPI Details

Jessica Marie Butala, DO is a child and adolescent psychiatry psychiatry neurology in Lynchburg, VA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Jessica Marie Butala, DO NPI is 1578983854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2402 ATHERHOLT RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 947-5967

The NPI 1578983854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 1/12/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryOS019421PENNSYLVANIANo
22084P0800XPsychiatry & NeurologyPsychiatry0102205632VIRGINIANo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0102205632VIRGINIAYes
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryOSO19421PENNSYLVANIANo

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI