Active NPI
Baili Reichenberger, D.O.
- Psychiatry Physician
- Oklahoma City, OK
National Provider Identifier
1952780272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6045
- Practice address
- 920 Stanton L Young Blvd
WP 3440
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-5251
- NPI assigned
- May 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6045 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd
WP 3440
Oklahoma City, OK 73104-5036
Mailing address
2908 Astoria Way
Edmond, OK 73034-5997
Phone (405) 378-2727
Other names 1
- Baili Barnes
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6045 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Single Specialty | Past | Accepting new patients |
| Balance Women's Health, LLC | Single Specialty | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Single Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba LifeStance Health
- Clinical Psychologist
- Moore, OK
- NPI 1790186385
Single Specialty
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1952780272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 ASTORIA WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345997",
"telephone_number": "405-378-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD",
"address_2": "WP 3440",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHENBERGER",
"first_name": "BAILI",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "6045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILI",
"last_name": "BARNES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.