Active NPI
Jo Ann Bartley, PHD
- Psychologist
- Anchorage, AK
National Provider Identifier
1912112012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 523
- Practice address
- 4000 San Ernesto Ave
Anchorage, AK 99508-2874 - Phone
- (907) 729-5056
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 523 | AK | Primary |
Addresses
Primary practice location
4000 San Ernesto Ave
Anchorage, AK 99508-2874
Mailing address
4201 Tudor Centre Dr Ste 320
Anchorage, AK 99508-5916
Phone (907) 729-6337
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 523 | AK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912112012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 TUDOR CENTRE DR STE 320",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085916",
"telephone_number": "907-729-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 SAN ERNESTO AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082874",
"telephone_number": "907-729-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLEY",
"first_name": "JO ANN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AK",
"license": "523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.