Individual provider Active NPI

Robert Bartee, PH.D.

  • Psychologist
  • Santa Cruz, CA
National Provider Identifier
1942331541
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY23940 Issued in CA
Practice address
104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929
Phone
(831) 423-9444
Fax
(831) 423-1532
NPI assigned
Mar 8, 2007
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005151 IL
Psychologist 103T00000X PSY23940 CA Primary

Addresses

Primary practice location

104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929

Mailing address

PO Box 8170
Santa Cruz, CA 95061-8170
Phone (831) 818-8577

Other practice location 1

550 Water St Ste C2
Santa Cruz, CA 95060-4128
Phone (831) 818-8577

Other practice location 2

2901 Park Ave Ste A3
Soquel, CA 95073-2831
Phone (831) 423-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20120216000380 CA Practitioner - Clinical Psychologist 3971770868 Reassigns benefits to 1 organization
Practice locations: Santa Cruz, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service Agency of the Central CoastGroup PAC ID 1052213527, 9 clinicians

Practice addresses (Care Compare)

104 Walnut Ave
Santa Cruz, CA 95060-3929

2901 Park Ave
Suite A3
Soquel, CA 95073-2831
Phone (831) 346-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY23940CAMDPsychologist
071-005151ILMDClinical Psychologist
23940CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of the Central Coast Psychologist CurrentSince Nov 30, 2011 Accepting new patients

Locations

104 Walnut Ave
Ste 208
Santa Cruz, CA 95060
Phone (831) 423-1532

104 Walnut Ave
Ste 212
Santa Cruz, CA 95060
Phone (408) 423-9444

2901 Park Ave
Ste A3
Soquel, CA 95073
Phone (831) 346-6767

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1942331541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8170",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950618170",
            "telephone_number": "831-818-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WALNUT AVE STE 208",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603929",
            "telephone_number": "831-423-9444",
            "fax_number": "831-423-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Water St Ste C2",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604128",
            "country_code": "US",
            "telephone_number": "831-818-8577",
            "fax_number": "831-346-6671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Park Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732831",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "fax_number": "831-423-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTEE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005151",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.