Bailey & Associates PSC
Organization Active NPI Psychologist · Louisville, KY
NPI 1356522932 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1356522932
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 78519 (KY)
- Legal business name
- BAILEY & ASSOCIATES PSC
- Practice address
- 9700 Park Plaza Ave
Suite 105
Louisville, KY 40241-2236 - Phone
- (502) 327-0209
- Fax
- (502) 426-4902
- NPI assigned
- Nov 24, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- BAILEY & ASSOCIATES
Authorized official
- Name
- Dr. Linda Bailey, PH.D., LCSW
- Title
- Owner
- Phone
- (502) 327-0209
Practitioners 5
-
Linda Bailey, PHD
-
Jennifer S O'Loughlin, LCSW
-
Jan Elizabeth Edwards, LMFT
-
Patricia Collins Martin, RN MAMFT
-
Kimberly Jean Waltrip, L.C.S.W.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050308000650 | KY | Part B Supplier - Clinic/Group Practice | 7315991890 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, KY |
National Provider Directory
- Part of
- Bailey Associates PSC
Locations
9700 Park Plaza Ave
Unit 105
Louisville, KY 40241
Phone (502) 327-0209
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 78519 | KY | Yes |
Addresses
Primary practice location
9700 Park Plaza Ave
Suite 105
Louisville, KY 40241-2236
Mailing address
9700 Park Plaza Ave
Suite 105
Louisville, KY 40241-2236
Phone (502) 327-0209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255309530 | Other | KY | NPI |
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.