Organization Active NPI

Christine B. Bailey, PH.D., PC

Doing business as The Neuropsychology Clinic

  • Clinical Neuropsychologist
  • New Smyrna Beach, FL
National Provider Identifier
1770819815
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1402 Issued in AL
Legal business name
CHRISTINE B. BAILEY, PH.D., PC
Doing business as
The Neuropsychology Clinic
Practice address
305 Magnolia St
New Smyrna Beach, FL 32168-7144
Phone
(386) 732-7861
NPI assigned
Oct 24, 2009
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Christine B Bailey, PHDNPI 1265454060
Title
Neuropsychologist
Phone
(386) 732-7861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Clinical Neuropsychologist 103G00000X 1402 AL Primary

Addresses

Primary practice location

305 Magnolia St
New Smyrna Beach, FL 32168-7144

Mailing address

305 Magnolia St
New Smyrna Beach, FL 32168-7144
Phone (386) 732-7861

Other names 1

  • The Neuropsychology Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170523001189 FL Part B Supplier - Clinic/Group Practice 5092859520 Receives reassigned benefits from 1 practitioner
Practice locations: New Smyrna Beach, FL

National Provider Directory

National Provider Directory

Locations

1428 Weatherly Rd SE
Ste 102
Huntsville, AL 35803
Phone (256) 457-4438

7017 Wall Triana Hwy
Madison, AL 35757
Phone (256) 457-4438

7017 Wall Triana Hwy
#U
Madison, AL 35757

7017 Wall Triana Hwy
Ste F
Madison, AL 35757
Phone (256) 457-4438

7017 Wall Triana Hwy
Unit F
Madison, AL 35757
Phone (256) 457-4438

305 Magnolia St
New Smyrna Beach, FL 32168
Phone (386) 732-7861

Practitioners & affiliated clinicians

Practitioners 2

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": "1256342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1770819815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAGNOLIA ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687144",
            "telephone_number": "386-732-7861",
            "fax_number": "386-310-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAGNOLIA ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687144",
            "telephone_number": "386-732-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE B. BAILEY, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-24",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "386-732-7861",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neuropsychology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.