Individual provider Active NPI

Veronica Bailey, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canandaigua, NY
National Provider Identifier
1679955983
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401847-1 Issued in NY
Practice address
35 North St
Canandaigua Behavioral Health
Canandaigua, NY 14424-1075
Phone
(585) 394-0530
NPI assigned
Jun 23, 2015
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401847-1 NY Primary

Addresses

Primary practice location

35 North St
Canandaigua Behavioral Health
Canandaigua, NY 14424-1075

Mailing address

35 North St
Canandaigua Behavioral Health
Canandaigua, NY 14424-1075
Phone (585) 394-0530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vbailey204386@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512000122 NY Practitioner - Nurse Practitioner 9537458799 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F401847-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Area Counseling and Recovery Agency, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Feb 23, 2016 Accepting new patients

Locations

35 North St
Canandaigua, NY 14424
Phone (585) 349-0530

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

28 E Main St
Clifton Springs, NY 14432
Phone (315) 462-9466

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

339 East Ave
Ste 303
Rochester, NY 14604
Phone (315) 462-9466

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1679955983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NORTH ST",
            "address_2": "CANANDAIGUA BEHAVIORAL HEALTH",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241075",
            "telephone_number": "585-394-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NORTH ST",
            "address_2": "CANANDAIGUA BEHAVIORAL HEALTH",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241075",
            "telephone_number": "585-394-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401847-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbailey204386@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "35 North St",
            "address_2": "Canandaigua Behavioral Health",
            "city": "Canandaigua",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144241075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.