Nadine L Bartsch, PHD

Key facts

NPI

1689854119

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

33199 (TX)

Practice address

255 N Egret Bay Blvd
Apt 4112
League City, TX 77573-6533

Phone

(832) 932-5397

NPI assigned

Nov 13, 2007

Sex

Female

Sole proprietor

Yes

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.

• Dr. Beardsley'S Super Optical, Inc. Eyewear Supplier · McAllen, TX · NPI 1356305957
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 6, 2016.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454716800000",
    "number": "1689854119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N EGRET BAY BLVD",
            "address_2": "APT 4112",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736533",
            "telephone_number": "832-932-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N EGRET BAY BLVD",
            "address_2": "APT 4112",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736533",
            "telephone_number": "832-932-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTSCH",
        "first_name": "NADINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2016-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Leah Bassett, IBCLC
• Holly Beth Bauerlein, OTR
• Scott Baumann
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All providers in League City, TX · Clinical Psychologist in Texas