NPIMap

Organization Active NPI

Bailey Mason Enterprises, Inc

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1821363540
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60252354 Issued in WA
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
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Tyson D BaileyNPI 1366739435
Title
President/Psychologist
Phone
(425) 931-6450

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

19221 36th Ave W
Ste 208
Lynnwood, WA 98036
Phone (425) 478-6100

3429 Fremont Pl N
Ste 315
Seattle, WA 98103
Phone (425) 931-6450

Practitioners & affiliated clinicians

Practitioners 4

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": "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.

Verify at the official NPI Registry.