Individual provider Active NPI

Caryn A Bartnik, PSY D

  • Clinical Psychologist
  • Elma, NY
National Provider Identifier
1255447579
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0125151 Issued in NY
Practice address
2430 Bowen Rd
Elma, NY 14059-9385
Phone
(716) 316-0577
NPI assigned
Aug 21, 2006
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0125151 NY Primary

Addresses

Primary practice location

2430 Bowen Rd
Elma, NY 14059-9385

Mailing address

PO Box 223
2430 Bowen Road
Elma, NY 14059-0223
Phone (716) 316-0577

Other identifiers 6

IdentifierTypeStateIssuer
000525528002OtherNYBCBS
0007406482OtherAETNA
00020375901OtherNYUNIVERA
02275721MedicaidNY
102239362OtherUNITED BEHAVIORAL HEALTH
6190422OtherNYINDEPENDENT HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 1, 2025 through May 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0125151NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ceier Chiropractic PC Past Accepting new patients
Advanced Psychiatric Nurse Practitioner Practice, PLLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1255447579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "address_2": "2430 BOWEN ROAD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140590223",
            "telephone_number": "716-316-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 BOWEN RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599385",
            "telephone_number": "716-316-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTNIK",
        "first_name": "CARYN",
        "middle_name": "A",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0125151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000525528002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007406482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020375901",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02275721",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "102239362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6190422",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

Verify at the official NPI Registry.