Active NPI
Bailey Mason Enterprises, Inc
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1821363540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60252354
- Legal business name
- BAILEY MASON ENTERPRISES, INC
- Practice address
- 3429 Fremont PL N Ste 315
Seattle, WA 98103-8661 - Phone
- (425) 931-6450
- Fax
- (888) 240-5967
- NPI assigned
- Mar 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tyson D Bailey
- Title
- President/Psychologist
- Phone
- (425) 931-6450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60252354 | WA | Primary |
Addresses
Primary practice location
3429 Fremont PL N Ste 315
Seattle, WA 98103-8661
Mailing address
7711 NE 175TH St Unit D205
Kenmore, WA 98028-3585
Phone (425) 931-6450
National Provider Directory
National Provider DirectoryLocations
3429 Fremont Pl N
Ste 315
Seattle, WA 98103
Phone (425) 931-6450
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Kent, WA
- NPI 1154641868
-
- Clinical Psychologist
- Everett, WA
- NPI 1306917679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1821363540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 NE 175TH ST UNIT D205",
"city": "KENMORE",
"state": "WA",
"postal_code": "980283585",
"telephone_number": "425-931-6450",
"fax_number": "888-240-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3429 FREMONT PL N STE 315",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038661",
"telephone_number": "425-931-6450",
"fax_number": "888-240-5967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAILEY MASON ENTERPRISES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "TYSON",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
"authorized_official_telephone_number": "425-931-6450",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60252354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.