NPI Code Details Logo

NPI 1770475774

NPI 1770475774 : BARTELS PSYCHOLOGICAL SERVICES P.C. : HARRIMAN, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770475774
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BARTELS PSYCHOLOGICAL SERVICES P.C. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/16/2025
-----------------------------------------------------
    Last Update Date     |    07/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    144 ROUTE 17M 
-----------------------------------------------------
    City                 |    HARRIMAN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10926-3329
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    914-805-3094
-----------------------------------------------------
    Fax                  |    888-894-4861
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    144 ROUTE 17M 
-----------------------------------------------------
    City                 |    HARRIMAN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10926-3329
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    914-805-3094
-----------------------------------------------------
    Fax                  |    888-894-4861
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. WILLIAM MACK BARTELS 
-----------------------------------------------------
    Credential           |    PSY.D.
-----------------------------------------------------
    Telephone            |    914-805-3094
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TC2200X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.