Individual provider Active NPI

Melissa Bates English Bailey, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1053671156
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008205 Issued in IL
Practice address
3166 N Lincoln Ave
Ste 206
Chicago, IL 60657-3133
Phone
(773) 998-1466
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008205 IL Primary

Addresses

Primary practice location

3166 N Lincoln Ave
Ste 206
Chicago, IL 60657-3133

Mailing address

3166 N Lincoln Ave
Ste 206
Chicago, IL 60657-3133
Phone (773) 998-1466

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.008205ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Path Therapy Inc Current Accepting new patients
Howard Brown Health Center Past Accepting new patients
Howard Brown Health Center Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1053671156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133",
            "telephone_number": "773-998-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133",
            "telephone_number": "773-998-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH BAILEY",
        "first_name": "MELISSA",
        "middle_name": "BATES",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.