Organization Active NPI

Becky Bailey, PH.D., PC

  • Psychologist
  • Salt Lake City, UT
National Provider Identifier
1538462874
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1156592501 Issued in UT
Legal business name
BECKY BAILEY, PH.D., PC
Practice address
699 E South Temple Ste 202
Salt Lake City, UT 84102-4251
Phone
(801) 521-6234
Fax
(801) 257-0528
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Becky Bailey, PHD
Title
Psychologist
Phone
(801) 521-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1156592501 UT Primary

Addresses

Primary practice location

699 E South Temple Ste 202
Salt Lake City, UT 84102-4251

Mailing address

699 E South Temple Ste 202
Salt Lake City, UT 84102-4251
Phone (801) 521-6234

Other identifiers 1

IdentifierTypeStateIssuer
543625594011MedicaidUT

National Provider Directory

National Provider Directory

Locations

699 E South Temple
Ste 202
Salt Lake City, UT 84102
Phone (801) 521-6234

508 E South Temple
Ste 225
Slc, UT 84102
Phone (801) 521-6234

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1538462874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024251",
            "telephone_number": "801-521-6234",
            "fax_number": "801-257-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 E SOUTH TEMPLE STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841024251",
            "telephone_number": "801-521-6234",
            "fax_number": "801-257-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKY BAILEY, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-521-6234",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "1156592501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543625594011",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.