Individual provider Active NPI

Jessica Lynn Bartmann, PSYD

  • Clinical Psychologist
  • Greenwood Village, CO
National Provider Identifier
1124563523
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0006493 Issued in CO
Practice address
6535 S Dayton St Ste 3650
Greenwood Village, CO 80111-6135
Phone
(720) 224-6795
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Psychologist 103TC0700X PSY.0006493 CO Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6535 S Dayton St Ste 3650
Greenwood Village, CO 80111-6135

Mailing address

6535 S Dayton St Ste 3650
Greenwood Village, CO 80111-6135

Other practice location 1

1137 Pearl St Ste 203
Boulder, CO 80302-5100
Phone (720) 502-0893

Other practice location 2

1217 Riverside Ave
Fort Collins, CO 80524-3218
Phone (970) 494-4200

Other practice location 3

222 SE 8th Ave Ste 212
Hillsboro, OR 97123-4218
Phone (503) 352-6151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 28, 2024 through Aug 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0006493COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1124563523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST STE 3650",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST STE 3650",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116135",
            "telephone_number": "720-224-6795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1137 Pearl St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025100",
            "country_code": "US",
            "telephone_number": "720-502-0893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1217 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243218",
            "country_code": "US",
            "telephone_number": "970-494-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 SE 8th Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234218",
            "country_code": "US",
            "telephone_number": "503-352-6151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTMANN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006493",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.