Active NPI
Steven Emil Bailley, PHD
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1487602967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31046
- Practice address
- 1011 Augusta Drive
Ste 107
Houston, TX 77057 - Phone
- (713) 914-9944
- Fax
- (713) 914-9599
- NPI assigned
- May 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31046 | TX | Primary |
Addresses
Primary practice location
1011 Augusta Drive
Ste 107
Houston, TX 77057
Mailing address
1011 Augusta Drive
Ste 107
Houston, TX 77057
Phone (713) 914-9944
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175394901 | Medicaid | TX | |
| 041785901 | Medicaid | TX | |
| 041785902 | Medicaid | TX | |
| 680013151 | Other | TX | RAIL ROAD MEDICARE |
| 83030P | Other | TX | BCBS |
| 83024P | Other | TX | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1487602967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 AUGUSTA DRIVE",
"address_2": "STE 107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"telephone_number": "713-914-9944",
"fax_number": "713-914-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 AUGUSTA DRIVE",
"address_2": "STE 107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"telephone_number": "713-914-9944",
"fax_number": "713-914-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILLEY",
"first_name": "STEVEN",
"middle_name": "EMIL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "31046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175394901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041785901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041785902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "680013151",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83030P",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83024P",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.