Brittany Bak, PSY.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

0810005794 Issued in VA

Practice address

4601 Ironbound Rd
Williamsburg, VA 23188-2648

Phone

(757) 208-7668

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1083263768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 PARKER ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232313726",
            "telephone_number": "440-759-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 IRONBOUND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882648",
            "telephone_number": "757-208-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11545 Nuckols Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230595666",
            "country_code": "US",
            "telephone_number": "804-793-8285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAK",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005794",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "VA",
            "license": "0810005794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bailey-Grincius, LPC
• Carrie Lynn Bailey, LPC
• Dylan Priddy Bailey
• Rochelle Bailey, PMHNP
• Lonniel Jason Bain, NP
• Sarah J Balascio, LCAT
• Aarthi S Balasubramaniam, DMD
• Alexis Leigh Balausky
• Robert Michael Baldwin, M.D.
• Sarah Jones Baldwin, NP

• Forensic Psychologist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Forensic Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.