Active NPI
Tammy Anne Redhead Bartoszek, PSYD
- Clinical Psychologist
- Syracuse, NY
National Provider Identifier
1831297969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0149201
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2306 - Phone
- (315) 464-2300
- Fax
- (315) 464-2305
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Pharmacy
- Syracuse, NY
- NPI 1306567474
-
- Psychiatric Hospital Unit
- Syracuse, NY
- NPI 1144288531
-
- Community/Retail Pharmacy
- Syracuse, NY
- NPI 1396330932
-
- Skilled Nursing Facility
- Syracuse, NY
- NPI 1568884716
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
-
- Community/Retail Pharmacy
- Syracuse, NY
- NPI 1740796697
-
- Rehabilitation Hospital Unit
- Syracuse, NY
- NPI 1841248713
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suny Health Science Center at Syracuse
Practice addresses (Care Compare)
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.04 of 100
- Quality
- 67.92
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 69.19
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825003303 | NY | Practitioner - Clinical Psychologist | 1355510587 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0149201 | NY | MD | Clinical Psychologist |
| 014920 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suny Health Science Center at Syracuse | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Current | Accepting new patients |
Locations
505 Irving Ave
Ste 1249
Syracuse, NY 13210
Phone (315) 464-2320
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
90 Presidential Plz
Fl 3
Syracuse, NY 13202
Phone (315) 464-4357
Interoperability endpoints
- tbartoszek7396@direct.upstate.edu
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0149201 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
750 E. Adams Street
Syracuse, NY 13210
Phone (315) 464-2300
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02229005 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831297969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E. ADAMS STREET",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-2300",
"fax_number": "315-464-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-2300",
"fax_number": "315-464-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOSZEK",
"first_name": "TAMMY",
"middle_name": "ANNE REDHEAD",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0149201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02229005",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.