Active NPI
Baillio Psychological Services, PA
- Counseling Psychologist
- Saint Petersburg, FL
National Provider Identifier
1053798702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY8287
- Legal business name
- BAILLIO PSYCHOLOGICAL SERVICES, PA
- Practice address
- 735 Arlington Ave N
Suite 205
Saint Petersburg, FL 33701-3652 - Phone
- (813) 294-0577
- NPI assigned
- May 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jill N Baillio, PHD
- Title
- Owner
- Phone
- (813) 294-0577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY8287 | FL | Primary |
Addresses
Primary practice location
735 Arlington Ave N
Suite 205
Saint Petersburg, FL 33701-3652
Mailing address
4081 Beach Dr SE
Saint Petersburg, FL 33705-4125
Phone (813) 294-0577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AZ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1900 Dr Martin Luther King Jr St N
St Petersburg, FL 33704
Phone (813) 294-0577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473811200000",
"number": "1053798702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4081 BEACH DR SE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337054125",
"telephone_number": "813-294-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 ARLINGTON AVE N",
"address_2": "SUITE 205",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337013652",
"telephone_number": "813-294-0577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAILLIO PSYCHOLOGICAL SERVICES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-01",
"last_updated": "2016-09-14",
"status": "A",
"authorized_official_last_name": "BAILLIO",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-294-0577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY8287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.