LISA D BAILEY PH.D.
NPI 1053634014
Psychologist - Clinical Child & Adolescent in Jacksonville, FL

Q: What is Lisa Bailey's NPI number?

The NPI number for Lisa Bailey is 1053634014. It was assigned to this individual provider in the NPPES registry on March 4, 2010.

Q: What is Lisa Bailey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bailey was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 04, 2010

12412 SAN JOSE BLVD STE 203, JACKSONVILLE, FL 32223(904) 432-3321(904) 432-3324 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2023, Aug 11, 2023 (2 updates tracked since 2023).

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About Lisa D Bailey Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA D BAILEY PH.D. (NPI 1053634014) is an individual clinical child & adolescent provider in Jacksonville, Florida, licensed in Florida (PY9441) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1053634014

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameLISA D BAILEYCredential: PH.D.

Location Address12412 SAN JOSE BLVD STE 203Jacksonville, FL 32223-8620

Mailing Address12412 San Jose Blvd Ste 203Jacksonville, FL 32223-8620 · (904) 432-3321 · Fax (904) 432-3324

Phone(904) 432-3321

Fax(904) 432-3324

Sole ProprietorNo

Enumeration DateMarch 4, 2010

Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1053634014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in FL · PY9441

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

12412 SAN JOSE BLVD STE 203, Jacksonville, FL 32223

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bailey's NPI number?

The NPI number for Lisa Bailey is 1053634014. It was assigned to this individual provider in the NPPES registry on March 4, 2010.

Where is Lisa Bailey located?

Lisa Bailey practices at 12412 San Jose Blvd Ste 203, Jacksonville, FL 32223. The listed phone number is (904) 432-3321.

What is Lisa Bailey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Lisa Bailey was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.