Individual provider Active NPI

Bart Jody Hanlon, MA, CAS SCHOOL PSYCH

  • School Psychologist
  • Goshen, NY
National Provider Identifier
1285364240
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
843207981 Issued in NY
Practice address
301 Main St Ste B
Goshen, NY 10924-1636
Phone
(845) 458-8661
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 843207981 NY Primary

Addresses

Primary practice location

301 Main St Ste B
Goshen, NY 10924-1636

Mailing address

301 Main St Ste B
Goshen, NY 10924-1636
Phone (845) 458-8661

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bhanlon@liberty-resources.org Health Information Exchange (HIE)

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
843207981NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1285364240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST STE B",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241636",
            "telephone_number": "845-458-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST STE B",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241636",
            "telephone_number": "845-458-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "BART",
        "middle_name": "JODY",
        "credential": "MA, CAS SCHOOL PSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "843207981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bhanlon@liberty-resources.org",
            "affiliation": "N",
            "endpointDescription": "Evaluation Unit Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 Main St Ste B",
            "city": "Goshen",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109241636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.