Active NPI
Bart Body, PH.D.
- Clinical Psychologist
- Encinitas, CA
National Provider Identifier
1275609075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 23990
- Practice address
- 348 Avenida de Las Rosas
Encinitas, CA 92024-4716 - Phone
- (760) 634-9811
- Fax
- (866) 936-4065
- NPI assigned
- Nov 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 23990 | CA | Primary |
Addresses
Primary practice location
348 Avenida de Las Rosas
Encinitas, CA 92024-4716
Mailing address
348 Avenida de Las Rosas
Encinitas, CA 92024-4716
Phone (760) 634-9811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 23990 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1275609075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 AVENIDA DE LAS ROSAS",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920244716",
"telephone_number": "760-634-9811",
"fax_number": "866-936-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 AVENIDA DE LAS ROSAS",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920244716",
"telephone_number": "760-634-9811",
"fax_number": "866-936-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODY",
"first_name": "BART",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 23990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
- Shanna Block, PHARMD
- Blue Mountain Optometry
- Sandra Karen Blumberg, M.F.T.
- Marisa J Blume, LAC
- Noelle Bock, OD
- Andrew Hagop Boghossian, PHARMD
- Bold Health Medical Group, a Professional Corporation (Bold Health)
- Joseph A Bonanno, M.D.
- Stacy Elizabeth Bonds, PHD
- Bonnie Deroo Marriage and Family Therapy Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.