DR. STEFAN A. BAILIS (NPI# 1891086005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891086005 |
| Entity Type | Individual |
| Full Name | DR. STEFAN A. BAILIS |
| Credential | PSYD |
| Practice Address |
1600 University Ave W Suite 203 Saint Paul MN 55104-3898 |
| Mailing Address |
1910 E 86th St Apt. 336 Bloomington MN 55425-2125 |
| Practice Telephone | 6516450980 |
| Mailing Telephone | 6512836667 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP5333 | MN | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP5333 | MN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP5333 | MN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
LP5333 | MN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP5333 | MN | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
LP5333 | MN | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
LP5333 | MN | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LP5333 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1600 UNIVERSITY AVE W SUITE 203 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801865894 | Minnesota Foot and Ankle Clinic P A | Podiatrist | 1600 University Ave W, Suite 19-c, Saint Paul, MN 55104-3825 | 2006-03-14 |
| 1477035616 | Jeffrey James Hansen | Psychologist | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2018-09-04 |
| 1811418346 | Cheri Ann Kuhn | Counselor | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2017-07-06 |
| 1013451657 | Lindsey Rae Benolken | Counselor | 1600 University Ave W, Ste 12, Saint Paul, MN 55104-3898 | 2016-12-16 |
| 1831649664 | Kristine Kaschmitter | Occupational Therapist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2016-10-05 |
| 1639626054 | Anna Ross | Occupational Therapist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2016-09-01 |
| 1972991354 | Tegist Ayalew | Nurse Practitioner | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2015-01-07 |
| 1609279157 | Lauren Kijewski | Specialist/Technologist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2014-09-29 |
| 1720488711 | Emily Yoon Penk-smith | Occupational Therapist | 1600 University Ave W, 10, Saint Paul, MN 55104-3898 | 2014-08-27 |
| 1447676572 | Passport Health Holdings, LLC. | Preventive Medicine | 1600 University Ave W, #207, Saint Paul, MN 55104 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| 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 |
|---|---|---|---|---|
| 1073161220 | Jeffrey Paul Olsen | Psychologist | 2275 Youngman Ave Ste 204, Saint Paul, MN 55116-3053 | 2019-08-30 |
| 1205496890 | Xenia Ewing | Psychologist | 1611 County Road B W Ste 214, Saint Paul, MN 55113-5021 | 2019-06-17 |
| 1316432867 | Lewis M Rambo | Psychologist | 624 Selby Ave Ste 2, Saint Paul, MN 55104-6614 | 2018-06-27 |
| 1215450622 | Margaret Kellogg, Inc | Psychologist | 241 Cleveland Ave S Ste 1b, Saint Paul, MN 55105-1255 | 2017-07-18 |
| 1104361971 | Ruth Markowitz Ma Lp | Psychologist | 1599 Selby Ave Ste 107, Saint Paul, MN 55104-6263 | 2017-01-03 |
| 1144624636 | Martin J. Schoen, Psy.d., L.L.C. | Psychologist | 2096 Fairways Ln, Saint Paul, MN 55113-3813 | 2014-10-13 |
| 1770863607 | Stacy Coleman Symons | Psychologist | 7582 Currell Blvd Ste 108, Saint Paul, MN 55125-8210 | 2011-08-23 |
| 1427364355 | Vanessa Rachelle Rempel | Psychologist | 241 Cleveland Ave S Ste B6, Saint Paul, MN 55105-1255 | 2010-08-30 |
| 1295060770 | Joseph Vincent Bailey | Psychologist | 1798 Hewitt Ave, Saint Paul, MN 55104-1129 | 2009-10-16 |
| 1205061785 | Rebecca Sarah White | Psychologist | 180 5th St E, Saint Paul, MN 55101-2672 | 2009-05-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.