Paola Maria Bailey, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018853-1 Issued in NY

Practice address

715 N Central Ave Ste 108
Glendale, CA 91203-1225

Phone

(310) 341-0317

NPI assigned

Mar 15, 2010

Last updated

Jul 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Epilepsy & Neurophysiology Medical Consulting PC

  • Neurology Physician
  • White Plains, NY
  • NPI 1770564593
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1063736478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 JEWEL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262809",
            "telephone_number": "646-675-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N CENTRAL AVE STE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031225",
            "telephone_number": "310-341-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PAOLA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018853-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joon H Bahng, MD
• Yan Bai, NP
• Bailey Multispecialty Group, Inc. (Dignified Home Care)
• Alana Ann Bailey, FNP
• Alicea Bailey
• Tushar Bajaj, MD
• Anna Bakalian, NP
• Kelly Baker, PHD, ATC
• Amir Bakhshi
• Stella Rose Bakmajian, SRB

• Clinical Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.