Stacey Marie Bayan (NPI# 1164807954, PAC ID# 6507170214) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1164807954 |
| PAC ID by PECOS | 6507170214 |
| Professional Enrollment ID | I20150807014352 |
| Full Name | Stacey Marie Bayan |
| Organization Legal Name | EXECUTIVE MENTAL HEALTH, INC |
| Address |
11835 W Olympic Blvd Suite 1265e Los Angeles CA 90064-5814 |
| Phone Number | 3102734843 |
| Gender | F |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 0345209102 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 | 3102734843 | EXECUTIVE MENTAL HEALTH, INC |
| Organization Legal Name | EXECUTIVE MENTAL HEALTH, INC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Rebecca Green-krogmann | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Cynthia Aguilar | Psychologist, Clinical | Executive Mental Health, Inc | 16890 Green Tree Blvd, Victorville, CA 92395-5618 |
| Natasha Marie Swan | Psychologist, Clinical | Executive Mental Health, Inc | 1180 N Town Ctr Dr, Suite 100, Las Vegas, NV 89144-6363 |
| Iris Mcnabola | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Elaine Rosa | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Kristina Marie Reynolds | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Earl Clare Thorndyke Iii | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Tiffany Barr | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| George E Vasquez Jr. | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Dylan G Harwood | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Street Address |
11835 W OLYMPIC BLVD SUITE 1265E |
| City | LOS ANGELES |
| State | CA |
| Zip | 90064-5814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Rebecca Green-krogmann | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Iris Mcnabola | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Debra S Pear | Chiropractic | 11835 W Olympic Blvd, Suite 220e, Los Angeles, CA 90064-5824 | |
| Elaine Rosa | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Kristina Marie Reynolds | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Earl Clare Thorndyke Iii | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Tiffany Barr | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| George E Vasquez Jr. | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Dylan G Harwood | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| John Y Lee | Psychologist, Clinical | Executive Mental Health, Inc | 11835 W Olympic Blvd, Suite 1265e, Los Angeles, CA 90064-5814 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn Peter Fischel | Chiropractic | 11545 W Olympic Blvd, A, Los Angeles, CA 90064-1508 | |
| Joel Jaffe | General Practice | Citizens Medical Group | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 |
| Larry S Brandis | Internal Medicine | Citizens Medical Group | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 |
| Elizabeth Farr | Psychologist, Clinical | 11500 W Olympic Blvd, Suite 400, Los Angeles, CA 90064-1525 | |
| Trevin Thurman | Physical Medicine and Rehabilitation | 11500 W Olympic Blvd, Suite 640, Los Angeles, CA 90064-1525 | |
| Andrew P Pritikin | Physical Therapy | 11500 W Olympic Blvd, Suite 506, Los Angeles, CA 90064-1527 | |
| Nathaniel Elkins | Chiropractic | 11500 W Olympic Blvd, Suite 364, Los Angeles, CA 90064-1528 | |
| Asif W Rafi | Allergy/immunology | 11500 W Olympic Blvd, Los Angeles, CA 90064-1530 | |
| Tanya L Balakrishnan | Physical Therapy | Momentum Physical Therapy | 11500 W Olympic Blvd, Suite 470, Los Angeles, CA 90064-1530 |
| Kelly Masuda | Physical Therapy | Momentum Physical Therapy | 11500 W Olympic Blvd, Suite 470, Los Angeles, CA 90064-1530 |
| Find all physicians in zip 90064 | |||
| City | LOS ANGELES |
| Zip Code | 90064 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LOS ANGELES + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Stacey Marie Bayan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.