Individual provider Active NPI

Melissa Ann Bailey-Arizpe, PSYD

  • Clinical Psychologist
  • Clearwater, FL
National Provider Identifier
1841252228
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17402 Issued in CA
Practice address
2522 N McMullen Booth Rd
Suite D
Clearwater, FL 33761-4151
Phone
(480) 529-0959
Fax
(310) 988-2883
NPI assigned
Apr 3, 2006
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17402 CA Primary

Addresses

Primary practice location

2522 N McMullen Booth Rd
Suite D
Clearwater, FL 33761-4151

Mailing address

2522 N McMullen Booth Rd
Suite D
Clearwater, FL 33761-4151
Phone (480) 529-0959

Other identifiers 1

IdentifierTypeStateIssuer
PSY174022MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041025001229 CA Practitioner - Clinical Psychologist 6800857541 Reassigns benefits to 1 organization
I20170920002221 FL Practitioner - Clinical Psychologist 6800857541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bailey Psychology Group P aGroup PAC ID 1951626316, 3 clinicians

Practice addresses (Care Compare)

111 W Ocean Blvd
Suite 400
Long Beach, CA 90802-4633
Phone (310) 913-1136

2505 Enterprise Rd
Clearwater, FL 33763-1100
Phone (813) 720-7411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY17402CAMDClinical Psychologist
17402CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Psychology Group P a Clinical CurrentSince Jan 1, 2015 Accepting new patients
Coastal Center for Obesity Past Accepting new patients

Locations

111 W Ocean Blvd
Ste 400
Long Beach, CA 90802
Phone (562) 786-6557

1294 W 6th St
Ste 105
San Pedro, CA 90731
Phone (310) 521-5990

222 W 6th St
Ste 400
San Pedro, CA 90731
Phone (310) 221-0463

2505 Enterprise Rd
Clearwater, FL 33763

2522 N McMullen Booth Rd
Ste D
Clearwater, FL 33761
Phone (480) 529-0959

108 4th Ave S
Safety Harbor, FL 34695
Phone (727) 793-9177

108 4th Ave S
Ste 108
Safety Harbor, FL 34695

108 4th Ave S
Ste B
Safety Harbor, FL 34695
Phone (813) 720-7411

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1841252228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 N MCMULLEN BOOTH RD",
            "address_2": "SUITE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614151",
            "telephone_number": "480-529-0959",
            "fax_number": "310-988-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 N MCMULLEN BOOTH RD",
            "address_2": "SUITE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614151",
            "telephone_number": "480-529-0959",
            "fax_number": "310-988-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY-ARIZPE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY174022",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.