Mary Beth Bailar-Heath, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4639 Issued in NC

Practice address

100 Magnolia Rd Ste 2229
Pinehurst, NC 28374-9820

Phone

(910) 420-4790

Fax

(910) 320-8890

NPI assigned

Oct 15, 2011

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Marybeth Bailar Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1962787457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAGNOLIA RD STE 2229",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749820",
            "telephone_number": "910-420-4790",
            "fax_number": "910-320-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAGNOLIA RD STE 2229",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749820",
            "telephone_number": "910-420-4790",
            "fax_number": "910-320-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILAR-HEATH",
        "first_name": "MARY BETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "003293",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYBETH",
            "last_name": "BAILAR",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elena M Avila, PA
• Berry Dewayne Aycock, CPO
• Kimber Leigh Aycock, CFO
• Karen A Backall, PT
• Don Robert Bahner Jr., MD
• Ka'Swanna Baker
• Porsha Nichole Baker
• Samuel Balbin, PT
• Elizabeth Grace Ball, DO
• Kimberly June Ball, CRNA

• Clinical Neuropsychologist in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.