Zachary Clark Bayer, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

9214 Issued in FL

Practice address

3 Vine Ave NE
Fort Walton Beach, FL 32548-5069

Phone

(850) 226-7666

Fax

(850) 226-7499

NPI assigned

May 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bayer Neurobehavioral Center, PLLCGroup PAC ID 4981922747, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayer Neurobehavioral Center, PLLC

  • Clinical Neuropsychologist
  • Fort Walton Beach, FL
  • NPI 1720470255
  Medicare reassignment Care Compare group NPD Authorized official
• Cognitive Rehabilitation of Georgia, PC

  • Psychologist
  • Atlanta, GA
  • NPI 1841525987
  Medicare reassignment NPD

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1619296555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VINE AVE NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485069",
            "telephone_number": "850-226-7666",
            "fax_number": "850-226-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VINE AVE NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485069",
            "telephone_number": "850-226-7666",
            "fax_number": "850-226-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYER",
        "first_name": "ZACHARY",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "GA",
            "license": "PSY003849",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "9214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Port Assisted Living Inc.
• Bay Prosthetic Center
• Bayer and Curtis Orthodontics
• Bayer Neurobehavioral Center, PLLC
• Corissa Lynn Bayer, PH.D.
• Beach Orthopaedic & Sports Medicine Clinic, PA
• Glynis Bealer
• Elizabeth Ann Beaver
• Lynn Kelly Beck, MS, LMHC
• Robin Michelle Beck, FNP-C

• Clinical Neuropsychologist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.