KYOUNG DEOK BAIK PHD
NPI 1558867333
Psychologist - Clinical in Fairfax, VA

Q: What is Kyoung Deok Baik's NPI number?

The NPI number for Kyoung Deok Baik is 1558867333. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Q: What is Kyoung Deok Baik's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kyoung Deok Baik enrolled in Medicare?

No. Kyoung Deok Baik has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kyoung Deok Baik was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 02, 2018Opted out of Medicare · through Feb 13, 2028

3554 CHAIN BRIDGE RD STE 103, FAIRFAX, VA 22030(703) 896-7628 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kyoung Deok Baik Phd NPPES

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

KYOUNG DEOK BAIK PHD (NPI 1558867333) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810005789) and active in the NPI registry since April 2018. She has opted out of Medicare through February 13, 2028.

NPPES Registry Identity

NPI1558867333

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKYOUNG DEOK BAIKCredential: PHD

Location Address3554 CHAIN BRIDGE RD STE 103Fairfax, VA 22030-2709

Mailing Address6478 Wingate StAlexandria, VA 22312-1643 · (419) 494-8904

Phone(703) 896-7628

Sole ProprietorNo

Enumeration DateApril 2, 2018

✔ NPI 1558867333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810005789

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3554 CHAIN BRIDGE RD STE 103, Fairfax, VA 22030

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kyoung Deok Baik Phd 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 February 13, 2024 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2024

Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DR. ANNA MARIA ZGANIACZ LCP

Psychologist (Clinical)

3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030

Fairfax City (703) 896-7628

MRS. SUSAN WIGTON SINCLAIR LCSW

Social Worker (Clinical)

3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030

Fairfax City (703) 896-7621

PEDIATRIC SERVICES OF AMERICA, LLC

Nursing Care

3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030

Fairfax City (703) 873-7672

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 Kyoung Deok Baik's NPI number?

The NPI number for Kyoung Deok Baik is 1558867333. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Kyoung Deok Baik located?

Kyoung Deok Baik practices at 3554 Chain Bridge Rd Ste 103, Fairfax, VA 22030. The listed phone number is (703) 896-7628.

What is Kyoung Deok Baik's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kyoung Deok Baik enrolled in Medicare?

No. Kyoung Deok Baik has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kyoung Deok Baik was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.