Active NPI
Barbara Chang, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1699752196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4941
- Practice address
- 1776 Broadway
RM 1704
New York, NY 10019 - Phone
- (212) 757-6620
- NPI assigned
- Dec 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4941 | NY | Primary |
Addresses
Primary practice location
1776 Broadway
RM 1704
New York, NY 10019
Mailing address
55 Bethune St
C616
New York, NY 10014
Phone (212) 741-0897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00921619 | Medicaid | NY |
Other names 1
- Barbara Bauclt
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4941 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699752196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BETHUNE ST",
"address_2": "C616",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10014",
"telephone_number": "212-741-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 BROADWAY",
"address_2": "RM 1704",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-757-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "BARBARA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "4941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00921619",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "BAUCLT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.