DR. MICHAEL BALY PH.D.
NPI 1588040554
Clinical Neuropsychologist in Odenton, MD

Q: What is Michael Baly's NPI number?

The NPI number for Michael Baly is 1588040554. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Q: What is Michael Baly's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is Michael Baly enrolled in Medicare?

No. Michael Baly has opted out of Medicare through June 25, 2027. 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 Michael Baly was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 31, 2015Opted out of Medicare · through Jun 25, 2027

1132 ANNAPOLIS RD, SUITE 200, ODENTON, MD 21113(410) 874-1813(410) 874-1818 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael Baly Ph.d. NPPES

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

DR. MICHAEL BALY PH.D. (NPI 1588040554) is an individual clinical neuropsychologist in Odenton, Maryland and active in the NPI registry since July 2015. He has opted out of Medicare through June 25, 2027.

NPPES Registry Identity

NPI1588040554

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. MICHAEL BALYCredential: PH.D.

Location Address1132 ANNAPOLIS RD, SUITE 200Odenton, MD 21113-1647

Mailing Address2931 E Biddle St, Patient AccountingBaltimore, MD 21213-3939 · (443) 923-1886 · Fax (443) 923-1895

Phone(410) 874-1813

Fax(410) 874-1818

Sole ProprietorYes

Enumeration DateJuly 31, 2015

✔ NPI 1588040554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

1132 ANNAPOLIS RD, Odenton, MD 21113

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

Dr. Michael Baly Ph.d. 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 June 25, 2025 through June 25, 2027.

Opt-Out Effective DateJune 25, 2025

Opt-Out In Effect ThroughJune 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

WALGREEN CO

Pharmacy

1132 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 874-1460

DR. WANDA RIVERA M.D.

Internal Medicine

1132 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 874-1400

DR. LAUREN DANIELLE HOLDER

Psychologist

1132 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (443) 370-8601

MRS. MICHELLE LYNN ANDES DPT

Physical Therapist

1132 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 672-8091

DR. NORMAN A POULSEN MD

Family Medicine

1132 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 874-1400

ASHLEY MARIE ZINALABEDINI CRNP

Nurse Practitioner (Family)

1132 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 874-1455

DR. NAOMI REBECCA RIOS M.D.

Pediatrics

1132 ANNAPOLIS RD, SUITE 201
ODENTON, MD 21113

Anne Arundel County (410) 874-1600

KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.

Clinic/Center (Developmental Disabilities)

1132 ANNAPOLIS RD
ODENTON, MD 21113

Anne Arundel County (410) 874-1818

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 Michael Baly's NPI number?

The NPI number for Michael Baly is 1588040554. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Michael Baly located?

Michael Baly practices at 1132 Annapolis Rd Suite 200, Odenton, MD 21113. The listed phone number is (410) 874-1813.

What is Michael Baly's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Michael Baly enrolled in Medicare?

No. Michael Baly has opted out of Medicare through June 25, 2027. 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 Michael Baly was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.