DR. BAILEY CHRISTINE DIRTH PSYD
NPI 1396107272
Psychologist in Eagan, MN

Active since March 22, 2016Opted out of Medicare · through Jan 26, 2028
4660 SLATER RD STE 120, EAGAN, MN 55122(952) 836-5122 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2022, Mar 22, 2016 (2 updates tracked since 2016).

About Dr. Bailey Christine Dirth Psyd NPPES

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

DR. BAILEY CHRISTINE DIRTH PSYD (NPI 1396107272) is an individual psychologist in Eagan, Minnesota and active in the NPI registry since March 2016. She has opted out of Medicare through January 26, 2028 and maintains a secondary practice location in Victoria.

NPPES Registry Identity

NPI1396107272
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. BAILEY CHRISTINE DIRTHCredential: PSYD
Location Address4660 SLATER RD STE 120Eagan, MN 55122-4048
Mailing Address4660 Slater Rd Ste 120Eagan, MN 55122-4048
Sole ProprietorYes
Enumeration DateMarch 22, 2016
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1396107272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

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.

4660 SLATER RD STE 120, Eagan, MN 55122

Secondary Practice Location 1

Location 11772 Steiger Lake Ln Ste 200Victoria, MN 55386-7723 · Phone (952) 443-4604

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Bailey Christine Dirth Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2024 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2024
Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4660 SLATER RD STE 120
EAGAN, MN 55122
Counselor (Professional)
4660 SLATER RD STE 120
EAGAN, MN 55122
Counselor (Mental Health)
4660 SLATER RD STE 120
EAGAN, MN 55122
Marriage & Family Therapist
4660 SLATER RD STE 120
EAGAN, MN 55122
Counselor (Professional)
4660 SLATER RD STE 120
EAGAN, MN 55122
Counselor (Mental Health)
4660 SLATER RD STE 120
EAGAN, MN 55122
Psychologist (Clinical)
4660 SLATER RD STE 120
EAGAN, MN 55122
Counselor
4660 SLATER RD STE 120
EAGAN, MN 55122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396107272, enumerated as an "individual" on March 22, 2016.

The provider is located at 4660 SLATER RD STE 120 EAGAN, MN 55122 and the phone number is (952) 836-5122.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.