Karol Ann Bailey, PH.D.
Individual provider Active NPI Psychologist · Seal Beach, CA
NPI 1043217201 · NPPES record last updated Jan 30, 2013
Key facts
- NPI
- 1043217201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY5100 (CA)
- Practice address
- 212 Main St Ste A3
Seal Beach, CA 90740-6378 - Phone
- (562) 431-3423
- NPI assigned
- Jul 2, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5100 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY5100 | CA | Yes |
Addresses
Primary practice location
212 Main St Ste A3
Seal Beach, CA 90740-6378
Mailing address
6475 E Pacific Coast Hwy
414
Long Beach, CA 90803-4201
Phone (562) 431-3423
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All providers in Seal Beach, CA · Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.