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

Last updated

May 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thaddeus James Bay, LCSWNPI 1154933216

Title

Therapist/Owner

Phone

(260) 242-6643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thaddeus James Bay, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1154933216
  Medicare reassignment NPD Authorized official
• Kaitlyn M Pozorski, LCSW

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

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

{
    "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. (BAYADA Pediatrics)
• Emily Bayer
• Sydney Erin Bayer, M.ED.
• Loretta Bazur-Persing, NP

• Clinical Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• 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.