Active NPI
Emily H. Bailey, PSYD.
- Psychologist
- Cambridge, MA
National Provider Identifier
1306929997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4675
- Practice address
- 22 Hilliard St
Cambridge, MA 02138-4972 - Phone
- (617) 661-1097
- Fax
- (617) 661-1097
- NPI assigned
- Oct 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4675 | MA | |
| Psychologist | 103T00000X | 4675 | MA | Primary |
Addresses
Primary practice location
22 Hilliard St
Cambridge, MA 02138-4972
Mailing address
105 Lexington Ave
Cambridge, MA 02138-3369
Phone (617) 661-1097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W04533 | Other | MA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031215000923 | MA | Practitioner - Clinical Psychologist | 9638076912 | Practice locations: Somerville, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
61 Roseland St
Suite 5
Somerville, MA 02143-3524
Phone (617) 661-1097
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4675 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306929997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 LEXINGTON AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383369",
"telephone_number": "617-661-1097",
"fax_number": "617-661-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 HILLIARD ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384972",
"telephone_number": "617-661-1097",
"fax_number": "617-661-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "EMILY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4675",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "W04533",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.