Bay Mental Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BAY MENTAL HEALTH LLC

Practice address

10331 Dawsons Creek Blvd Ste D
Fort Wayne, IN 46825-1908

Phone

(260) 525-5807

NPI assigned

May 20, 2022

Organization subpart

No

Name

Thaddeus James Bay, LCSWNPI 1154933216

Title

Therapist/Owner

Phone

(260) 242-6643

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thaddeus James Bay, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1154933216

  Clinical, IN

  Medicare reassignment NPD Authorized official
• Kaitlyn M Pozorski, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1700469657

  Clinical, IN

  Medicare reassignment NPD
• Julie Suzanne Dejesus, LMHCA

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1013791367
  NPD
• Noel Ochoa, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1568160547
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2022.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1972241925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 OLD BOG RD",
            "city": "AVILLA",
            "state": "IN",
            "postal_code": "467109458",
            "telephone_number": "260-242-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10331 DAWSONS CREEK BLVD STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251908",
            "telephone_number": "260-525-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "BAY",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "260-242-6643",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailyn Baumgartner
• Kevin Martin Baumgartner, PHARMD
• Curt Edward Baumle, CRT
• Terah Bautista, FNP-C
• Angela K Baxter, MA, CCC-SLP
• Thaddeus James Bay, LCSW
• Bayada Home Health Care, Inc.
• Emily Bayer
• Sydney Erin Bayer, M.ED.
• Loretta Bazur-Persing, NP

• All providers in Fort Wayne, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.