Individual provider Active NPI

Barbara Farrell Pats, PH.D.

  • Clinical Psychologist
  • Delmar, NY
National Provider Identifier
1477624914
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010374-1 Issued in NY
Practice address
413 Kenwood Ave
Delmar, NY 12054-3231
Phone
(518) 439-0090
Fax
(518) 439-0267
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

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 010374-1 NY Primary

Addresses

Primary practice location

413 Kenwood Ave
Delmar, NY 12054-3231

Mailing address

413 Kenwood Ave
Delmar, NY 12054-3231
Phone (518) 439-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070604000442 NY Practitioner - Clinical Psychologist 1850499542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Delaware Ave
Delmar, NY 12054-1227
Phone 51843900904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010374-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara F Pats PHD Psychologist PLLC Clinical CurrentSince Feb 22, 2015 Accepting new patients

Locations

200 Delaware Ave
Delmar, NY 12054
Phone (518) 439-0090

413 Kenwood Ave
Delmar, NY 12054
Phone (518) 439-0090

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477624914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543231",
            "telephone_number": "518-439-0090",
            "fax_number": "518-439-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543231",
            "telephone_number": "518-439-0090",
            "fax_number": "518-439-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATS",
        "first_name": "BARBARA",
        "middle_name": "FARRELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010374-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.