DR. JASON M. BAILIE (NPI# 1932494432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932494432 |
| Entity Type | Individual |
| Full Name | DR. JASON M. BAILIE |
| Credential | PH.D. |
| Practice Address |
3102 E Highland Ave Patton CA 92369-7813 |
| Practice Telephone | 9094257658 |
| Mailing Telephone | 9094257658 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 24126 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3102 E HIGHLAND AVE |
| City | PATTON |
| State | CA |
| Zip Code | 92369-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174592158 | Gregory Bruce Leong | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2006-03-14 |
| 1851830053 | Hong Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-21 |
| 1215476627 | Hai Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-17 |
| 1669866042 | Eddie Lee Diaz | Pharmacist | 3102 E Highland Ave, Main Phamacy, Patton, CA 92369-7813 | 2015-03-24 |
| 1043620578 | Jeffrey Walsh | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369 | 2014-05-06 |
| 1386065274 | Shobha George | Social Worker | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-12-19 |
| 1629416482 | Johnnie Chi | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-06-13 |
| 1144576299 | Chen-ying Wu | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-07-26 |
| 1598025165 | Loren Carrillo King | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-05-16 |
| 1235401050 | Joy Tuesday Ramas Engracia | Nurse Practitioner | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
| Find all providers in zip 92369 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235376617 | Albert Gene Yee | Clinical Neuropsychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2009-01-07 |
| 1114178985 | Sean P Brannon | Clinical Neuropsychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2008-10-09 |
| 1699922112 | Mark A Williams | Clinical Neuropsychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
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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.