Active NPI
Rebecca Bailly, PH.D.
- Clinical Psychologist
- Cheyenne, WY
National Provider Identifier
1366422206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 256
- Practice address
- 1616 Warren Ave
Cheyenne, WY 82001-4555 - Phone
- (307) 634-5114
- Fax
- (307) 634-0588
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 256 | WY | Primary |
| Clinical Psychologist | 103TC0700X | 1972 | CO |
Addresses
Primary practice location
1616 Warren Ave
Cheyenne, WY 82001-4555
Mailing address
PO Box 232
Cheyenne, WY 82003-0232
Phone (307) 634-5114
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1972 | CO | MD | Clinical Social Worker |
| 256 | WY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Path Consulting LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Cheyenne, WY
- NPI 1306794334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366422206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820030232",
"telephone_number": "307-634-5114",
"fax_number": "307-634-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 WARREN AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014555",
"telephone_number": "307-634-5114",
"fax_number": "307-634-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILLY",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "256",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.