Individual provider Active NPI

Maria Dimitriov Barnhart, PHD

  • Clinical Psychologist
  • Antioch, CA
National Provider Identifier
1417067232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY14951 Issued in CA
Practice address
3725 Lone Tree Way
Suite A1
Antioch, CA 94509-6000
Phone
(925) 756-1334
Fax
(925) 756-1337
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PSY14951 CA Primary

Addresses

Primary practice location

3725 Lone Tree Way
Suite A1
Antioch, CA 94509-6000

Mailing address

3725 Lone Tree Way
Suite A1
Antioch, CA 94509-6000
Phone (925) 756-1334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040405001171 CA Practitioner - Clinical Psychologist 1153314380 Practice locations: Antioch, CA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417067232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 LONE TREE WAY",
            "address_2": "SUITE A1",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096000",
            "telephone_number": "925-756-1334",
            "fax_number": "925-756-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 LONE TREE WAY",
            "address_2": "SUITE A1",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096000",
            "telephone_number": "925-756-1334",
            "fax_number": "925-756-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNHART",
        "first_name": "MARIA",
        "middle_name": "DIMITRIOV",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.