Provider Demographics
NPI:1366332389
Name:ACKERMANS, BART
Entity type:Individual
Prefix:MR
First Name:BART
Middle Name:
Last Name:ACKERMANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 RIVINGTON ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2572
Mailing Address - Country:US
Mailing Address - Phone:646-877-4698
Mailing Address - Fax:
Practice Address - Street 1:1 UNION SQ W STE 911
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3303
Practice Address - Country:US
Practice Address - Phone:646-877-4698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001260102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst