MR. GOMER RAY BAILEY JR. PHD
NPI 1740529817
Psychologist - Clinical in Cleveland, OH

Q: What is Gomer Bailey's NPI number?

The NPI number for Gomer Bailey is 1740529817. It was assigned to this individual provider in the NPPES registry on February 8, 2013.

Q: What is Gomer Bailey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gomer Bailey was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 08, 2013

12201 EUCLID AVE, CLEVELAND, OH 44106(216) 707-3478 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Gomer Ray Bailey Jr. Phd NPPES

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

MR. GOMER RAY BAILEY JR. PHD (NPI 1740529817) is an individual clinical provider in Cleveland, Ohio, licensed in Ohio (6583) and active in the NPI registry since February 2013. He maintains a secondary practice location in Mentor.

NPPES Registry Identity

NPI1740529817

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. GOMER RAY BAILEY JR.Credential: PHD

Location Address12201 EUCLID AVECleveland, OH 44106-4310

Mailing Address1420 Willshire RdLyndhurst, OH 44124-2448 · (216) 702-1225

Phone(216) 707-3478

Sole ProprietorYes

Enumeration DateFebruary 8, 2013

Last NPPES UpdateFebruary 24, 2021

NPPES CertifiedFebruary 24, 2021

✔ NPI 1740529817 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 OH · 6583

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.

12201 EUCLID AVE, Cleveland, OH 44106

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Secondary Practice Location 1

Location 17232 Justin WayMentor, OH 44060-4881 · Phone (440) 578-8200

Other Identifiers 1

Medicaid0218310OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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.

SHERAH Y NEWMAN LISW-S

Social Worker (Clinical)