Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Susan Reis Butler, DOCTORATE

Individual provider Counseling Psychologist · NPI 1487612941

Dr. Susan Reis Butler, DOCTORATE is a Clinical Psychologist in Saint Louis, Missouri. Qualified in 1990, 36 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
36
Licensed in
MO
In the registry since
2006
Specialties on file
5

Practice location Address checks out

12962 Tesson Ferry Rd
Saint Louis, MO 63128-2915
Phone: (314) 849-7177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PYO 1451 (MO)
Counseling Psychologist Taxonomy 103TC1900X · Licence PYO 1451 (MO)
Family Psychologist Taxonomy 103TF0000X · Licence PYO 1451 (MO)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence PYO1451 (MO)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence PYO 1451 (MO)

Record details

NPI number1487612941
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOCTORATE
Sole proprietorYes
NPI enumeratedMay 3, 2006
Last updated in NPPESSeptember 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Louis