Larry William Bailey, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00000391 Issued in WA

Practice address

555 Dayton St
Edmonds, WA 98020-3601

Phone

(425) 774-4673

NPI assigned

Aug 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538274204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18631 80TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265818",
            "telephone_number": "425-771-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DAYTON ST",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203601",
            "telephone_number": "425-774-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LARRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00000391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Baghdasaryan, ARNP
• Paul Bagnulo, M.D.
• Kathy Jo Baier, LMP
• Brynnen Bailey-Lewis, STUDENT IN AN ORGANI
• Emma Rayne Bailey-McComb, LMP
• Rattanjit K Bains, DMD
• Jessica Esther Baird, MA, LMHC
• Amanda Rachel Baker, LMP
• Balanced Living Therapy, LLC
• Samantha Baneth

• Clinical Psychologist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.