Active NPI
Kathryn Bartz, MA, LLP
- Clinical Psychologist
- Hastings, MI
National Provider Identifier
1619254042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012029
- Practice address
- 500 Barfield Dr.
Hastings, MI 49058-9018 - Phone
- (269) 948-8041
- Fax
- (269) 948-9319
- NPI assigned
- Nov 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 630102029 | MI | |
| Clinical Psychologist | 103TC0700X | 6301012029 | MI | Primary |
Addresses
Primary practice location
500 Barfield Dr.
Hastings, MI 49058-9018
Mailing address
500 Barfield Dr.
Hastings, MI 49058-9018
Phone (269) 948-8041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630102029 | MI | MD | Addiction (Substance Use Disorder) Psychologist |
| 6301012029 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1619254042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BARFIELD DR.",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490589018",
"telephone_number": "269-948-8041",
"fax_number": "269-948-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BARFIELD DR.",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490589018",
"telephone_number": "269-948-8041",
"fax_number": "269-948-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTZ",
"first_name": "KATHRYN",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "630102029",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MI
- Barry County Community Mental Health Authority
- Barry County Community Mental Health Authority
- Barry County Community Mental Health Authority
- Barry Intermediate School District
- Barry-Eaton District Health Department
- Barbara Beal
- Ashley Bechtel
- Amy S Beck, MD
- Peter Carl Christian Beck, MD
- Nicole Beemer, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.