Active NPI
Bailey Psychology Group P a
- Clinical Psychologist
- Safety Harbor, FL
National Provider Identifier
1487054904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- BAILEY PSYCHOLOGY GROUP P A
- Practice address
- 108 4TH Ave S
Safety Harbor, FL 34695-4020 - Phone
- (480) 720-7411
- Fax
- (877) 454-6994
- NPI assigned
- Sep 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Bailey, MD
- Title
- Medical Director
- Phone
- (813) 720-7411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
108 4TH Ave S
Safety Harbor, FL 34695-4020
Mailing address
108 4TH Ave S
Safety Harbor, FL 34695-4020
Phone (813) 720-7411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1536 W 25th St
#108
San Pedro, CA 90732
Phone (310) 819-3862
108 4th Ave S
Ste B
Safety Harbor, FL 34695
Phone (813) 720-7411
108 4th Ave S
Safety Harbor, FL 34695
Phone (727) 793-9177
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Safety Harbor, FL
- NPI 1235995788
-
- Clinical Social Worker
- Safety Harbor, FL
- NPI 1932253143
-
- Mental Health Counselor
- Safety Harbor, FL
- NPI 1609446228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719446400000",
"number": "1487054904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 4TH AVE S",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346954020",
"telephone_number": "813-720-7411",
"fax_number": "877-454-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 4TH AVE S",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346954020",
"telephone_number": "480-720-7411",
"fax_number": "877-454-6994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAILEY PSYCHOLOGY GROUP P A",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-03",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-720-7411",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.