Individual provider Active NPI

Kathleen Rose Bartell, PH.D.

  • Clinical Psychologist
  • Syracuse, NY
National Provider Identifier
1881676443
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009112 Issued in NY
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.