Active NPI
Mariah C Bailey
- Psychologist
- Portsmouth, OH
National Provider Identifier
1831598887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- OH3107958
- Practice address
- 1112 Gallia St
Portsmouth, OH 45662-4161 - Phone
- (740) 981-3176
- NPI assigned
- Aug 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-33302 | OH | |
| Psychologist | 103T00000X | OH3107958 | OH | Primary |
Addresses
Primary practice location
1112 Gallia St
Portsmouth, OH 45662-4161
Mailing address
1112 Gallia St
Portsmouth, OH 45662-4161
Phone (740) 981-3176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3107958 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1831598887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 GALLIA ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624161",
"telephone_number": "740-981-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 GALLIA ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624161",
"telephone_number": "740-981-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "MARIAH",
"middle_name": "C",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-18-33302",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "OH3107958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.