Charles E Bailey

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

953 Thomas Cir
Portsmouth, VA 23704-4171

Phone

(323) 204-6084

NPI assigned

Jun 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1881262574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 THOMAS CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044171",
            "telephone_number": "323-204-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 THOMAS CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044171",
            "telephone_number": "323-204-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHARLES",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Bacon, RN BSN CCM
• Logan Bader, DO
• Baes Healthcare Solutions LLC
• Glenda Diana Bailey-Whigham
• Bettis J Bailey, LCSW
• Erin Shari Bailey, DDS
• Kelly E Bailey, LSA
• Vihang Ajit Bajani, DPM
• Amy M Baker
• Jenson Lionel Baker, MS, QMHP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.