DR. ROBERT RANDOLPH BUTTS (PSY.D.) – Clinical Psychologist, NPI 1265451462

DR. ROBERT RANDOLPH BUTTS (PSY.D.) is a healthcare provider. based in St petersburg, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PY0004732 (FL). The NPI Number for DR. ROBERT RANDOLPH BUTTS (PSY.D.) is 1265451462

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT RANDOLPH BUTTS (PSY.D.)
NPI
1265451462
Phone
(727) 548-6100
Address
6333 54TH AVE N
Enumeration Date
19 July 2006
Last Update Date
20 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275486100
Graduation Year
1988 (38 years ago)
PAC ID
1254423569
Group Practice PAC ID
8224195235
Professional Enrollment ID
I20070816000302
Address ID
FL337091703ST6333XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for DR. ROBERT RANDOLPH BUTTS (PSY.D.)

  • 54th Avenue North, Grovemont, Saint Petersburg, Pinellas County, Florida, 33714, United States

    ST PETERSBURG, FL 337091703

    Phone: (727) 548-6100

    Fax: (727) 545-0960

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070816000302IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96131Evaluation of psychological test, each additional hour14046$0
90791Psychiatric diagnostic evaluation5754$0
96130Evaluation of psychological test, first hour4746$0
96136Administration of psychological or neuropsychological test, first 30 minutes4746$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes4746$0
View full utilization report →

Insurance plans in this area (ZIP 33709)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224195235View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementFL
Interventional Pain Management, Pain Management, Physical Medicine And RehabilitationFL
-FL
Interventional Pain Management, AnesthesiologyFL

Reviews

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Frequently asked questions

What federal number belongs to DR. ROBERT RANDOLPH BUTTS (PSY.D.)?
The federal identifier for DR. ROBERT RANDOLPH BUTTS (PSY.D.) is NPI 1265451462.
Is DR. ROBERT RANDOLPH BUTTS (PSY.D.) currently active in the NPI registry?
CMS-published data lists DR. ROBERT RANDOLPH BUTTS (PSY.D.) as an active registrant.
What kind of provider is DR. ROBERT RANDOLPH BUTTS (PSY.D.)?
The page reflects Clinical Psychologist for DR. ROBERT RANDOLPH BUTTS (PSY.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ROBERT RANDOLPH BUTTS (PSY.D.)?
We surface St Petersburg, Florida for DR. ROBERT RANDOLPH BUTTS (PSY.D.) based on available NPPES addresses.
What if St Petersburg, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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