Active NPI
Fahy Bailey, PH.D.
- Psychologist
- Kapa'a, HI
National Provider Identifier
1962595678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 345
- Practice address
- 4-1435 Kuhio Hwy
Suite 206
Kapaa, HI 96746-1745 - Phone
- (808) 822-2447
- Fax
- (808) 821-0136
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 345 | HI | Primary |
Addresses
Primary practice location
4-1435 Kuhio Hwy
Suite 206
Kapaa, HI 96746-1745
Mailing address
P.O. Box 657
Kilauea, HI 96754-0657
Phone (808) 822-2447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02390202 | Medicaid | HI |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 345 | HI | MD | Psychologist |
Organizations & group practices 1
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.
-
- Psychologist
- Kapa'a, HI
- NPI 1356564777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962595678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 657",
"city": "KILAUEA",
"state": "HI",
"postal_code": "967540657",
"telephone_number": "808-822-2447",
"fax_number": "808-821-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4-1435 KUHIO HWY",
"address_2": "SUITE 206",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461745",
"telephone_number": "808-822-2447",
"fax_number": "808-821-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "FAHY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY 345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02390202",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kapa'a, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.