Patrick Jon Bartos, PSY.D., MSCP

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

PSY-203389 Issued in ID

Practice address

412 S 3Rd St Apt 604
Boise, ID 83702-7625

Phone

(503) 927-2155

Fax

(503) 386-2295

NPI assigned

Jul 27, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idaho State University

  dba Idaho State University Speech & Hearing Clinic

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777
  Medicare reassignment NPD
• Idaho State University

  • Community/Retail Pharmacy
  • McCammon, ID
  • NPI 1083393284
  NPD
• Idaho State University

  • Primary Care Nurse Practitioner
  • Meridian, ID
  • NPI 1962095711
  NPD
• Idaho State University

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
  • NPI 1366033094

  Prescribing (Medical)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1881972610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S 3RD ST APT 604",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027625",
            "telephone_number": "503-927-2155",
            "fax_number": "503-386-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S 3RD ST APT 604",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027625",
            "telephone_number": "503-927-2155",
            "fax_number": "503-386-2295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 E Central Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836427991",
            "country_code": "US",
            "telephone_number": "208-373-1734",
            "fax_number": "833-390-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTOS",
        "first_name": "PATRICK",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MSCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2076",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "ID",
            "license": "PSY-203389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane L Bartlett, LCSW
• Jessica Bartlett, NP-C
• Victor Bartling, D.O.
• Bailey Jo Bartlome, CNP
• Joshua G. Barton, MD
• Brighton Bartschi
• Jennielyn Bartus
• Lauren Bartz
• Samichhya Baruwal, PHARM.D., RPH
• Guniz Bas Uzer

• Prescribing (Medical) Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Prescribing (Medical) Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.