Jessica Dale Bartley, PSY.D., LCSW

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

License

4018 Issued in CO

Practice address

2450 S Vine St
Denver, CO 80210-5264

Phone

(303) 871-6087

NPI assigned

Nov 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jessica Corey Dale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Edc of Denver, LLC

  • Psychiatric Hospital
  • Denver, CO
  • NPI 1124165923
  NPD (past)

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1356770705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S. VINE STREET",
            "address_2": "ROOM 209",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80208",
            "telephone_number": "720-663-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105264",
            "telephone_number": "303-871-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "JESSICA",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CO",
            "license": "4018",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9923251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DALE",
            "middle_name": "COREY",
            "prefix": "DR.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah K Bartles, M.A.
• Natalie Rene Bartlett, FNP
• Caroline L Bartley, D.C.
• Jeremiah Amon Bartley, MD
• Jess B Bartley, MD
• Natalie Bartley, R.N.
• Audrey Barton
• Barbara Lynn Barton, L.AC., RN
• Bernadette Barton
• Dolores Lynn Barton, P.T.

• Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.