Organization Active NPI

Bailey Behavioral Health LLC

  • Clinical Social Worker
  • Harrison, AR
National Provider Identifier
1689989147
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2407-C Issued in AR
Legal business name
BAILEY BEHAVIORAL HEALTH LLC
Practice address
702 N Main St
Suite F
Harrison, AR 72601-2900
Phone
(870) 204-6980
Fax
(870) 204-6981
NPI assigned
Aug 9, 2010
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Mr. David W Bailey, LCSWNPI 1932138492
Title
Owner
Phone
(870) 204-6980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2407-C AR Primary

Addresses

Primary practice location

702 N Main St
Suite F
Harrison, AR 72601-2900

Mailing address

702 N Main St
Suite F
Harrison, AR 72601-2900
Phone (870) 204-6980

National Provider Directory

National Provider Directory

Locations

113 E Rush Ave
Ste 101
Harrison, AR 72601
Phone (870) 204-6980

702 N Main St
Ste F
Harrison, AR 72601
Phone (870) 204-6980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1689989147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "address_2": "SUITE F",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012900",
            "telephone_number": "870-204-6980",
            "fax_number": "870-204-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "address_2": "SUITE F",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012900",
            "telephone_number": "870-204-6980",
            "fax_number": "870-204-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-204-6980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2407-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.