DR. KELLY ANN BAILEY (NPI# 1366913170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366913170 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANN BAILEY |
| Credential | PHD |
| Practice Address |
1027 Memorial Dr Oakland MD 21550-4343 |
| Practice Telephone | 3015333300 |
| Practice Fax Number | 3015333299 |
| Mailing Telephone | 3015333300 |
| Mailing Fax Number | 3015333299 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 05929 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275057184 | Kelly Marie Bailey | Audiologist | 720 Eskenazi Ave Fl 3, Indianapolis, IN 46202-5187 | 2017-08-01 |
| 1619281805 | Kelly Brooke Bailey | Dentist | 385 South Columbia Street, Chapel Hill, NC 27599-2942 | 2010-07-30 |
| 1225020365 | Kelly Neidiffer Bailey | Optometrist | 4326 Charlestown Rd, New Albany, IN 47150-9568 | 2005-08-16 |
| 1255333258 | Kelly A Bailey | Nurse Practitioner | 747 Upper Glen St, Queensbury, NY 12804-2032 | 2005-08-10 |
| 1538792387 | Kelly Bailey | Counselor | 1905 Center Ave, Janesville, WI 53546-2842 | 2020-02-20 |
| 1750938445 | Kelly Ann Bailey | Occupational Therapist | 3209 Bristol Hwy, Johnson City, TN 37601-1515 | 2019-08-19 |
| 1821532524 | Kelly Bailey | Counselor | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2016-12-14 |
| 1588117212 | Kelly Elizabeth Bailey | Physical Therapist | 3341 S Elm Pl, Broken Arrow, OK 74012-7924 | 2016-07-29 |
| 1720447436 | Kelly Bailey | Physical Therapist | 800 W Main St, Coldwater, OH 45828-1613 | 2016-02-23 |
| 1629311477 | Kelly Bailey | Emergency Medicine | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-03-30 |
| Street Address |
1027 MEMORIAL DR |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082538 | Linda S Bonnette | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2005-09-08 |
| 1619574787 | Amanda Lynn Kamp | Registered Nurse | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2020-10-02 |
| 1457900052 | Sara Michelle Cockerham | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2019-09-05 |
| 1801358478 | Robert Clinton Funk II | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2019-04-03 |
| 1760952170 | Taylor Ryan Crabtree | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2018-11-28 |
| 1760972079 | Michelle K Dixon | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2018-05-11 |
| 1336654441 | Elias John Tancin | Social Worker | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-12-12 |
| 1538696604 | Jessica Nichole Meyers | Nurse Practitioner | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-05-18 |
| 1528592516 | Christopher M Ferrell | Family Medicine | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-04-17 |
| 1891233847 | Jeremy Don Brenneman | Counselor | 1027 Memorial Dr, Oakland, MD 21550-4343 | 2017-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661430 | Gina M Arias | Psychologist | 3287 Madera Ave, Oakland, CA 94619-3412 | 2020-05-22 |
| 1871127464 | Karena Berghold Passaro | Psychologist | 5665 College Ave Ste 230d, Oakland, CA 94618-1639 | 2020-02-24 |
| 1053883025 | Lindsey Brooke Hopkins | Psychologist | 287 17th St Ste A, Oakland, CA 94612-4191 | 2018-12-31 |
| 1164903563 | Mindhealth, A Professional Psychology Corporation | Psychologist | 585 Mandana Blvd Ste 1, Oakland, CA 94610-2265 | 2018-08-23 |
| 1306338892 | Mark Fromm | Psychologist | 3296 Jordan Rd, Oakland, CA 94602-3535 | 2018-05-31 |
| 1205363199 | Holly Lynn Buckman | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-05-22 |
| 1871942904 | Terri Marie Rech | Psychologist | 5835 College Ave Ste C, Oakland, CA 94618-1653 | 2016-06-09 |
| 1760867329 | William Barone | Psychologist | 360 Monte Vista Ave Apt 309, Oakland, CA 94611-4559 | 2015-07-24 |
| 1568853067 | Jason Carpenter | Psychologist | 715 62nd St, Oakland, CA 94609-1213 | 2015-02-05 |
| 1235535568 | Monique Thompson | Psychologist | 5297 College Ave # 206, Oakland, CA 94618-1462 | 2014-11-13 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.