Individual provider Active NPI

Thomas J Barkley, PH.D.

  • Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1235163130
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011141 Issued in NY
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
131773OtherNYVO MCO PIN
011141OtherNYLICENSE NUMBER
10022509OtherNYCDPHP HMO PIN
41386OtherNYMVP HMO PIN
6894248OtherNYGHI 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
011141NYMDOccupational 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

Verify at the official NPI Registry.