John W Bakaly, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12862 Issued in CA

Practice address

130 S Euclid Ave Ste 8
Pasadena, CA 91101-2472

Phone

(626) 793-6925

Fax

(626) 795-6899

NPI assigned

Feb 19, 2007

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

Enrolled in CA

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 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659415974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S EUCLID AVE STE 8",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012472",
            "telephone_number": "626-793-6925",
            "fax_number": "626-795-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S EUCLID AVE STE 8",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012472",
            "telephone_number": "626-793-6925",
            "fax_number": "626-795-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALY",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Joel Bailey
• Lena Quintero Bailey
• Michael Perry Bailey, MFTI
• Anna Bajo, MA, BCBA
• Abdullah Ashfaq Bajwah
• Anisa Malika Baker
• Carissa Baker
• Gina Baker
• Kendra Baker
• Kimberly Baker

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• 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.
• 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.