DR. RUSSELL JAMES BAILEY (NPI# 1851693808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851693808 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL JAMES BAILEY |
| Credential | PH.D. |
| Practice Address |
1675 N Freedom Blvd Suite 2b2 Provo UT 84604-2540 |
| Practice Telephone | 8013607598 |
| Mailing Telephone | 8013607598 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7809881-2504 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871784892 | Russell C Bailey | Neurological Surgery | 1221 Lee Street Ground Floor, Charlottesville, VA 22908-0001 | 2007-08-06 |
| Street Address |
1675 N FREEDOM BLVD SUITE 2B2 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991738 | Northwest Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 1675 N Freedom Blvd, Ste 12 C, Provo, UT 84604-2540 | 2005-09-08 |
| 1942588082 | Keith J. Clayton, M.d., P.C. | Pediatrics | 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604 | 2011-07-22 |
| 1174778450 | Matthew Joseph Clayton | Pediatrics | 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604-2540 | 2008-11-30 |
| 1932353539 | Now I Can Foundation | Clinic/Center | 1675 N Freedom Blvd, Suite 10b, Provo, UT 84604-2540 | 2008-11-10 |
| 1639321540 | Elizabeth Ann Jensen | Physical Therapist | 1675 N Freedom Blvd, Building 10b, Provo, UT 84604-2540 | 2008-10-22 |
| 1336364629 | Darren Wesley Gardner | Dentist | 1675 N Freedom Blvd, Ste 12a, Provo, UT 84604-2540 | 2007-04-13 |
| 1184847063 | New Horizon Women's Care, LLC | Internal Medicine | 1675 N Freedom Blvd, Suite 3, Provo, UT 84604-2540 | 2007-04-10 |
| 1336219906 | Kent Blad | Nurse Practitioner | 1675 N Freedom Blvd, Bldg 3, Provo, UT 84604-2540 | 2006-11-09 |
| 1194824201 | Provo Dialysis Center University of Utah | Clinic/Center | 1675 N Freedom Blvd, Provo, UT 84604-2540 | 2006-09-22 |
| 1265452163 | Damon Monson Faust | Chiropractor | 1675 N Freedom Blvd, 7a, Provo, UT 84604-2540 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1639732571 | Scott A Baldwin | Psychologist | 1190 N 900 E Ofc 285, Provo, UT 84604-3536 | 2019-04-16 |
| 1295004620 | Jennifer Tamar Brown | Psychologist | 44 W 400 N Apt 6, Provo, UT 84601-8437 | 2011-12-13 |
| 1497068910 | Brian Hansen | Psychologist | 125 East 300 South Suite 207, Provo, UT 84606-5156 | 2010-07-26 |
| 1720296296 | Sally Hess Barlow | Psychologist | 285 Tlrb Byu, Provo, UT 84602-8626 | 2007-05-18 |
| 1497888606 | Stevan Lars Nielsen | Psychologist | 1526 Wsc, Byu, Provo, UT 84602 | 2007-03-14 |
| 1053408682 | R. Lynn Richards | Psychologist | 1432 E. 850 S., Provo, UT 84606 | 2006-10-06 |
| 1922101849 | Richard Allen Moody | Psychologist | 1500 Wsc, Counseling and Career Center - Byu, Provo, UT 84602-7906 | 2006-09-06 |
| 1386600450 | Juergen Erich Korbanka | Psychologist | 750 North 200 West, Provo, UT 84601 | 2006-04-26 |
| 1992703615 | Allan Roe | Psychologist | 1190 N 900 E, Suite 204, Provo, UT 84604-3536 | 2005-07-07 |
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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.