Organization Active NPI

Katherine L. Bailey M.Ed. Licensed Psychologist Inc.

  • Psychologist
  • Meadville, PA
National Provider Identifier
1144515735
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-007726-L Issued in PA
Legal business name
KATHERINE L. BAILEY M.ED. LICENSED PSYCHOLOGIST INC.
Practice address
898 Park Ave
Suite 12
Meadville, PA 16335-3335
Phone
(814) 455-1937
Fax
(814) 455-1937
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Katherine L Bailey, M.ED.
Title
Licensed Psychologist
Phone
(814) 455-1937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS-007726-L PA Primary

Addresses

Primary practice location

898 Park Ave
Suite 12
Meadville, PA 16335-3335

Mailing address

413 Monoca Dr
Erie, PA 16505-2517
Phone (814) 455-1937

National Provider Directory

National Provider Directory

Locations

898 Park Ave
Ste 12
Meadville, PA 16335
Phone (814) 455-1937

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1144515735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 MONOCA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052517",
            "telephone_number": "814-455-1937",
            "fax_number": "814-455-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 PARK AVE",
            "address_2": "SUITE 12",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353335",
            "telephone_number": "814-455-1937",
            "fax_number": "814-455-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE L. BAILEY M.ED. LICENSED PSYCHOLOGIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-455-1937",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-007726-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.