Active NPI
Shayna Bailey, M.D.
- Psychiatry Physician
- Washington, DC
National Provider Identifier
1124400254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD210002319
- Practice address
- 4400 Massachusetts Ave NW
Washington, DC 20016-8003 - Phone
- (202) 885-3565
- NPI assigned
- Jun 25, 2015
- Last updated
- May 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0096625 | MD | |
| Psychiatry Physician | 2084P0800X | 4301108317 | MI | |
| Psychiatry Physician | 2084P0800X | MD210002319 | DC | Primary |
Addresses
Primary practice location
4400 Massachusetts Ave NW
Washington, DC 20016-8003
Mailing address
4400 Massachusetts Ave NW
Washington, DC 20016-8003
Phone (202) 885-3565
Other practice location 1
14901 Broschart Rd
Rockville, MD 20850-3318
Phone (301) 251-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101267569 | Other | VA | VA MEDICAL LICENSE |
| D0096625 | Other | MD | MD MEDICAL LICENSE |
| MD210002319 | Other | DC | DC MEDICAL LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD210002319 | DC | MD | Psychiatry Physician |
| 4301108317 | MI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1124400254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 MASSACHUSETTS AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200168003",
"telephone_number": "202-885-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 MASSACHUSETTS AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200168003",
"telephone_number": "202-885-3565"
}
],
"practiceLocations": [
{
"address_1": "14901 Broschart Rd",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208503318",
"country_code": "US",
"telephone_number": "301-251-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "SHAYNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2023-05-19",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0096625",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301108317",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD210002319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA MEDICAL LICENSE",
"identifier": "0101267569",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD MEDICAL LICENSE",
"identifier": "D0096625",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC MEDICAL LICENSE",
"identifier": "MD210002319",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.