Katherine Marie Barteck, PSY.D.
Individual provider Active NPI Psychologist · Johnson City, TN
NPI 1386988079 · NPPES record last updated Apr 27, 2024
Key facts
- NPI
- 1386988079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 3143 (TN)
- Practice address
- 508 E Unaka Ave
Johnson City, TN 37601-4033 - Phone
- (423) 449-9146
- NPI assigned
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3143 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow & Arbor, PLLC | Current |
Accepting new patients |
Locations
508 E Unaka Ave
Johnson City, TN 37601
Phone (423) 218-3159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 3143 | TN | |
| Psychologist | 103T00000X | 3143 | TN | Yes |
Addresses
Primary practice location
508 E Unaka Ave
Johnson City, TN 37601-4033
Mailing address
508 E Unaka Ave
Johnson City, TN 37601-4033
Phone (423) 449-9146
Other providers in Johnson City, TN
- Wendy McPherson Barnett
- Alexandria Hope Barnette
- Robert C. Barnhart
- Karen S Barrett
- Lauren Alexander Barrett
- Samantha Renee Bartee
- Brittany Bartholomew
- Caitlin Anne Bartholomew
- C. W. Baskette
- Leon Charles Bass
All providers in Johnson City, TN · Psychologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.