Glenn Thomas Bailey, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005734L Issued in PA

Practice address

1700 Cacapon CT
Virginia Beach, VA 23454-6713

Phone

(814) 528-2512

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1508921917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064125",
            "telephone_number": "814-454-4285",
            "fax_number": "814-520-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CACAPON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546713",
            "telephone_number": "814-528-2512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Sterrettania Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165064125",
            "country_code": "US",
            "telephone_number": "814-454-4285",
            "fax_number": "814-520-8490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "GLENN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005734L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Bailey Henry, LCSW
• Brittany Sharp Bailey
• Camilla Bailey
• Cornell Daniel Bailey
• Evelyn Bailey, APN
• Jeffrey C. Bailey, DDS
• Kristen Nicole Bailey, MD
• Monica Jane Bailey, FNP
• Rebecca Bailey, LCSW
• Sheila Ann Bailey, R.D.,

• Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.