| Bailey Psychological Services | |
|
825 W 8th Ave Ste 202 Anchorage AK 99501-3452 | |
| (907) 646-2952 | |
| (907) 646-2953 |
| Full Name | Bailey Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 825 W 8th Ave Ste 202, Anchorage, Alaska |
| Authorized Official Name and Position | Tanya Suzann Bailey (OWNER) |
| Authorized Official Contact | 9076462952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Psychological Services 825 W 8th Ave Ste 202 Anchorage AK 99501-3452 Ph: (907) 646-2952 | Bailey Psychological Services 825 W 8th Ave Ste 202 Anchorage AK 99501-3452 Ph: (907) 646-2952 |
| NPI Number | 1134712672 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 3870984776 |
|---|---|
| Medicare Enrollment ID | O20220104001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134712672 | NPI | - | NPPES |
| 1720223 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Tanya Suzann Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417512963 PECOS PAC ID: 2860728672 Enrollment ID: I20190731001073 |
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