Individual provider Active NPI

Sara-Jean Lizabeth Bartky, MS, CCC-SLP

  • Speech-Language Pathologist
  • Oakland, CA
National Provider Identifier
1013267806
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP21349 Issued in CA
Practice address
55 Santa Clara Ave #203
Oakland, CA 94610
Phone
(510) 433-0123
Fax
(510) 433-0133
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 022190-1 NY
Speech-Language Pathologist 235Z00000X SP21349 CA Primary

Addresses

Primary practice location

55 Santa Clara Ave #203
Oakland, CA 94610

Mailing address

55 Santa Clara Ave #203
Oakland, CA 94610
Phone (510) 433-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
022190-1NYMDClinical Psychologist
SP21349CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamara Muhler Speech-Language Pathologist CurrentSince Aug 11, 2019 Accepting new patients

Locations

55 Santa Clara Ave
Ste 203
Oakland, CA 94610
Phone (510) 433-0123

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1013267806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE #203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-433-0123",
            "fax_number": "510-433-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE #203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-433-0123",
            "fax_number": "510-433-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTKY",
        "first_name": "SARA-JEAN",
        "middle_name": "LIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022190-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP21349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.