Stacey M. Bayan, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY27111 Issued in CA

Practice address

1145 S Grand Ave
Glendora, CA 91740-5013

Phone

(909) 394-1667

Fax

(909) 575-4783

NPI assigned

Jul 22, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foothills Neurocare, a Psychological Corporation

  • Clinical Neuropsychologist
  • Glendora, CA
  • NPI 1245821743
  Medicare reassignment NPD Authorized official
• Department of State Hospitals

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Norwalk, CA
  • NPI 1265406565
  NPD
• Brian Wu MD PHD Inc

  • Psychiatry Physician
  • San Gabriel, CA
  • NPI 1528639481
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1164807954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405013",
            "telephone_number": "909-394-1667",
            "fax_number": "909-575-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405013",
            "telephone_number": "909-394-1667",
            "fax_number": "909-575-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYAN",
        "first_name": "STACEY",
        "middle_name": "M.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY27111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Lynn Barrett, M.D.
• Christian Basch
• Bassam Mouazzen M.D., P.C.
• Amber Alyssa Batres, PMHNP
• Raymundo Sevilla Bautista, MD
• Be Healthy Transportation, Inc.
• Believe and Archive Recovery, Inc.
• Believe and Archive Recovery, Inc.
• Believe and Archive Recovery, Inc.
• Aundrea Marie Bell, RN

• Clinical Neuropsychologist in Glendora, CA
• Providers in Glendora, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.