Ross Bartlett, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2531 Issued in OR

Practice address

435 Lancaster Dr NE
Salem, OR 97301-4729

Phone

(503) 585-6388

Fax

(503) 585-0669

NPI assigned

Sep 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willamette Family Medical Center Inc

  • Family Medicine Physician
  • Salem, OR
  • NPI 1649386418
  Medicare reassignment NPD
• Mangata Wellness, Inc

  • Clinical Psychologist
  • Salem, OR
  • NPI 1790419158
  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1225319403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014729",
            "telephone_number": "503-585-6388",
            "fax_number": "503-585-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014729",
            "telephone_number": "503-585-6388",
            "fax_number": "503-585-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "ROSS",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210855",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Ann Barrons, RDH
• Lacey K Barshaw
• Ashley Barth, FNP
• Lynn Marie Bartlett
• Olivia Nicole Bartlett, DPT, PT
• Elizabeth Bartman, N.D.
• Tina Barton, QMHA
• Faith Bartruff
• Melissa Renee Barwig, LMT
• Antonina S Basargin

• Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.