Active NPI
Becky Bailey, PH.D., PC
- Psychologist
- Salt Lake City, UT
National Provider Identifier
1538462874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1156592501
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 543625594011 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.