Organization Active NPI

Bailey Psychological Services

  • Clinical Psychologist
  • Anchorage, AK
National Provider Identifier
1134712672
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BAILEY PSYCHOLOGICAL SERVICES
Practice address
825 W 8TH Ave Ste 202
Anchorage, AK 99501-3452
Phone
(907) 646-2952
Fax
(907) 646-2953
NPI assigned
Feb 16, 2021
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Dr. Tanya Suzann Bailey, PH.D.NPI 1417512963
Title
Psychologist
Phone
(907) 646-2952

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)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

825 W 8TH Ave Ste 202
Anchorage, AK 99501-3452

Mailing address

825 W 8TH Ave Ste 202
Anchorage, AK 99501-3452
Phone (907) 646-2952

Other practice location 1

3125 Hightop Rd
Corbin, KY 40701-7502
Phone (907) 646-2952

Other identifiers 1

IdentifierTypeStateIssuer
1720223MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104001530 AK Part B Supplier - Clinic/Group Practice 3870984776 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

401 E Northern Lights Blvd
Ste 203
Anchorage, AK 99503
Phone (907) 646-2952

825 W 8th Ave
Ste 202
Anchorage, AK 99501
Phone (907) 646-2952

825 W 8th Ave
Ste 203
Anchorage, AK 99501
Phone (907) 646-2952

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1134712672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W 8TH AVE STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013452",
            "telephone_number": "907-646-2952",
            "fax_number": "907-646-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W 8TH AVE STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013452",
            "telephone_number": "907-646-2952",
            "fax_number": "907-646-2953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Hightop Rd",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407017502",
            "country_code": "US",
            "telephone_number": "907-646-2952",
            "fax_number": "907-646-2952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAILEY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "SUZANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "907-646-2952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720223",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.

Verify at the official NPI Registry.