Active NPI
Angelo Primo Bartocci, PSYD
- Clinical Psychologist
- Fort Sam Houston, TX
National Provider Identifier
1841671633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 625
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-9588
- NPI assigned
- Jun 17, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 625 | WY | Primary |
| Psychologist | 103T00000X | 625 | WY |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Other practice location 1
USAMEDDAC 2480 Llewellyn Ave
Fort George G Meade, MD 20755
Phone (630) 815-9924
Other practice location 2
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431
Phone (253) 968-4851
Other practice location 3
300 East Hospital Road
Fort Gordon, GA 30905-5650
Phone (706) 787-8134
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625 | WY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1841671633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-9588"
}
],
"practiceLocations": [
{
"address_1": "USAMEDDAC 2480 Llewellyn Ave",
"address_purpose": "LOCATION",
"city": "Fort George G Meade",
"state": "MD",
"postal_code": "20755",
"country_code": "US",
"telephone_number": "630-815-9924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Madigan Army Medical Center 9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "98431",
"country_code": "US",
"telephone_number": "253-968-4851",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 East Hospital Road",
"address_purpose": "LOCATION",
"city": "Fort Gordon",
"state": "GA",
"postal_code": "309055650",
"country_code": "US",
"telephone_number": "706-787-8134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTOCCI",
"first_name": "ANGELO",
"middle_name": "PRIMO",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "625",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WY",
"license": "625",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.