Individual provider Active NPI

Barbara Barry, PHD

  • Clinical Psychologist
  • Langley, WA
National Provider Identifier
1417021833
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00001413 Issued in WA
Practice address
919 3Rd St Ste 203
Langley, WA 98260-9230
Phone
(206) 448-2107
Fax
(855) 221-6770
NPI assigned
Nov 17, 2006
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 00001413 WA Primary

Addresses

Primary practice location

919 3Rd St Ste 203
Langley, WA 98260-9230

Mailing address

PO Box 565
Freeland, WA 98249-0565
Phone (206) 448-2107

Other practice location 1

2711 E Madison St
#213
Seattle, WA 98112-4749
Phone (206) 448-2107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070504000214 WA Practitioner - Clinical Psychologist 9931205135 Practice locations: Langley, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00001413WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Counseling of Washington, LLC PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 1

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1417021833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982490565",
            "telephone_number": "206-448-2107",
            "fax_number": "855-221-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 3RD ST STE 203",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609230",
            "telephone_number": "206-448-2107",
            "fax_number": "855-221-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 E Madison St",
            "address_2": "#213",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981124749",
            "country_code": "US",
            "telephone_number": "206-448-2107",
            "fax_number": "206-448-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "00001413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

Verify at the official NPI Registry.