John R Bailey, PHD, LP
Individual provider Active NPI Psychologist · Northfield, MN
NPI 1942263983 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1942263983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- LP0795 (MN)
- Practice address
- 680 Professional Dr
Northfield, MN 55057-2755 - Phone
- (507) 663-0237
- Fax
- (507) 663-1180
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0795 | MN | MD | Psychologist |
| 425 | MN | MD | Marriage & Family Therapist |
Interoperability endpoints
- jbailey86138@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0795 | MN | Yes |
| Marriage & Family Therapist | 106H00000X | 425 | MN |
Addresses
Primary practice location
680 Professional Dr
Northfield, MN 55057-2755
Mailing address
PO Box 43
Mr 10809
Minneapolis, MN 55440-0043
Phone (612) 262-4813
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.