Active NPI
John Winters Baley
- Forensic Psychologist
- Raleigh, NC
National Provider Identifier
1215401401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 5073
- Practice address
- 1300 Western Blvd
Raleigh, NC 27606-2148 - Phone
- (919) 743-4018
- NPI assigned
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5073 | NC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 5073 | NC | |
| Counseling Psychologist | 103TC1900X | 5073 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-20592 | NC | |
| Psychologist | 103T00000X | 5073 | NC | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 5073 | NC | |
| Exercise & Sports Psychologist | 103TE1100X | 5073 | NC | |
| Forensic Psychologist | 103TF0200X | 5073 | NC | Primary |
Addresses
Primary practice location
1300 Western Blvd
Raleigh, NC 27606-2148
Mailing address
250 S Estes Dr Apt 83
Chapel Hill, NC 27514-7000
Phone (828) 208-0277
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-20592 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 5073 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1215401401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S ESTES DR APT 83",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275147000",
"telephone_number": "828-208-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 WESTERN BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062148",
"telephone_number": "919-743-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALEY",
"first_name": "JOHN",
"middle_name": "WINTERS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5073",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "5073",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "5073",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-20592",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5073",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "5073",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "NC",
"license": "5073",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NC",
"license": "5073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.