Active NPI
Kathleen Rose Bartell, PH.D.
- Clinical Psychologist
- Syracuse, NY
National Provider Identifier
1881676443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 009112
- Practice address
- 112 Dewitt St
Suite 204
Syracuse, NY 13203-2890 - Phone
- (315) 425-1500
- Fax
- (315) 479-7631
- NPI assigned
- Nov 18, 2005
- Last updated
- Jul 13, 2026
- 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 | 009112 | NY | Primary |
Addresses
Primary practice location
112 Dewitt St
Suite 204
Syracuse, NY 13203-2890
Mailing address
112 Dewitt St
Suite 204
Syracuse, NY 13203-2890
Phone (315) 425-1500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881676443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 DEWITT ST",
"address_2": "SUITE 204",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032890",
"telephone_number": "315-425-1500",
"fax_number": "315-479-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 DEWITT ST",
"address_2": "SUITE 204",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032890",
"telephone_number": "315-425-1500",
"fax_number": "315-479-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTELL",
"first_name": "KATHLEEN",
"middle_name": "ROSE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "009112",
"primary": true
}
],
"identifiers": [],
"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 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.