Individual provider Active NPI

Diana J Sills Bailin, L.C.S.W.

  • Psychologist
  • Dunedin, FL
National Provider Identifier
1700897949
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SW10693 Issued in FL
Practice address
796 Terrace Road
Dunedin, FL 34698
Phone
(727) 953-7505
NPI assigned
Aug 11, 2006
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SW10693 FL Primary

Addresses

Primary practice location

796 Terrace Road
Dunedin, FL 34698

Mailing address

796 Terrace Road
Dunedin, FL 34698
Phone (727) 953-7505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220829002041 FL Practitioner - Clinical Social Worker 6204210040 Practice locations: Clearwater, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3209 Landmark Dr
Unit 4403
Clearwater, FL 33761-1919
Phone (727) 953-7505

3209 Landmark Dr Unit
Suite 4403
Clearwater, FL 33761-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1700897949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 TERRACE ROAD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "34698",
            "telephone_number": "727-953-7505",
            "fax_number": "727-408-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 TERRACE ROAD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "34698",
            "telephone_number": "727-953-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS BAILIN",
        "first_name": "DIANA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "SW10693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.