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NPI Code Detail

MEDICARE: W. MACK BARTELS, PSY.D. AND ASSOCIATES

MEDICARE: W. MACK BARTELS, PSY.D. AND ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker043475NY
21041C0700XClinical Social Worker022780-RNY
3103TC2200XClinical Child & Adolescent Psychologist016948-1NY

General Provider Information

NPI Number : 1316488067
Entity Type Code : Organization
Provider Name (Legal Business Name) : W. MACK BARTELS, PSY.D. AND ASSOCIATES
Provider Business Mailing Address
First Line : 144 ROUTE 17M
Second Line :
City : HARRIMAN
State : NY
Zip : 10926-3329
Country : US
Telephone Number : 845-395-0066
Fax Number : 888-894-4861
Provider Business Practice Location Address
First Line : 144 ROUTE 17M
Second Line :
City : HARRIMAN
State : NY
Zip : 10926-3329
Country : US
Telephone Number : 845-395-0066
Fax Number : 888-894-4861
Authorized Official
Title or Position : PSYCHOLOGIST
Name : DR. WILLIAM BARTELS
Credential : PSY.D.
Telephone Number : 914-805-3094
Provider Enumeration Date : 03/14/2017
Last Update Date : 03/14/2017

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