Active NPI
Thomas J Barkley, PH.D.
- Psychologist
- Saratoga Springs, NY
National Provider Identifier
1235163130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 011141
- Practice address
- 120 West Ave
Suite 207
Saratoga Springs, NY 12866-6076 - Phone
- (518) 584-8051
- Fax
- (518) 584-2523
- NPI assigned
- Jul 10, 2006
- Last updated
- Dec 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011141 | NY | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 011141 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 011141 | NY | |
| Clinical Psychologist | 103TC0700X | 011141 | NY |
Addresses
Primary practice location
120 West Ave
Suite 207
Saratoga Springs, NY 12866-6076
Mailing address
120 West Ave
Suite 207
Saratoga Springs, NY 12866-6076
Phone (518) 584-8051
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131773 | Other | NY | VO MCO PIN |
| 011141 | Other | NY | LICENSE NUMBER |
| 10022509 | Other | NY | CDPHP HMO PIN |
| 41386 | Other | NY | MVP HMO PIN |
| 6894248 | Other | NY | GHI MCO PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090331000042 | NY | Practitioner - Clinical Psychologist | 7618034000 | Practice locations: Saratoga Springs, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Fordham University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5 Maxwell Dr
Saratoga Springs, NY 12866-6043
Phone (518) 584-8051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011141 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1235163130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WEST AVE",
"address_2": "SUITE 207",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666076",
"telephone_number": "518-584-8051",
"fax_number": "518-584-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WEST AVE",
"address_2": "SUITE 207",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666076",
"telephone_number": "518-584-8051",
"fax_number": "518-584-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKLEY",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "011141",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "011141",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "011141",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011141",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VO MCO PIN",
"identifier": "131773",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "011141",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP HMO PIN",
"identifier": "10022509",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HMO PIN",
"identifier": "41386",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MCO PIN",
"identifier": "6894248",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.