NPI Code Detail JSON Logo

1316488067 NPI number — W. MACK BARTELS, PSY.D. AND ASSOCIATES

NPI Number: 1316488067
Health Care Provider/Practitioner: W. MACK BARTELS, PSY.D. AND ASSOCIATES

Information about “1316488067” NPI (W. MACK BARTELS, PSY.D. AND ASSOCIATES) exists in 1316488067 in HTML format HTML  |  1316488067 in plain Text format TXT  |  1316488067 in PDF (Portable Document Format) PDF  |  1316488067 in an XML format XML  formats.

NPI Number : 1316488067 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316488067",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "W. MACK BARTELS, PSY.D. AND ASSOCIATES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "144 ROUTE 17M",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARRIMAN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10926-3329",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-395-0066",
    "MailingAddressFaxNumber": "888-894-4861",
    "FirstLinePracticeLocationAddress": "144 ROUTE 17M",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRIMAN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10926-3329",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-395-0066",
    "PracticeLocationAddressFaxNumber": "888-894-4861",
    "EnumerationDate": "03/14/2017",
    "LastUpdateDate": "03/14/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARTELS",
    "AuthorizedOfficialFirstName": "WILLIAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PSY.D.",
    "AuthorizedOfficialTelephoneNumber": "914-805-3094",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "043475",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "022780-R",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC2200X",
          "TaxonomyName": "Clinical Child & Adolescent Psychologist",
          "LicenseNumber": "016948-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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