DR. KENNETH CHASE BAILEY PH.D
NPI 1801102801
Clinical Neuropsychologist in Dallas, TX

Q: What is Kenneth Bailey's NPI number?

The NPI number for Kenneth Bailey is 1801102801. It was assigned to this individual provider in the NPPES registry on August 27, 2010.

Q: What is Kenneth Bailey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bailey was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 27, 2010PECOS EnrolledAccepts Medicare Assignment

5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-8761(214) 590-1491 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017 (2 updates tracked since 2017).

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About Dr. Kenneth Chase Bailey Ph.d NPPES

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

DR. KENNETH CHASE BAILEY PH.D (NPI 1801102801) is an individual clinical neuropsychologist in Dallas, Texas, licensed in Texas (37427) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2015).

NPPES Registry Identity

NPI1801102801

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. KENNETH CHASE BAILEYCredential: PH.D

Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078

Phone(214) 590-8761

Fax(214) 590-1491

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2015

Enumeration DateAugust 27, 2010

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1801102801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TX · 37427

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.

5200 HARRY HINES BLVD, Dallas, TX 75235

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Chase Bailey Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921378159

PECOS Enrollment IDI20250623002774

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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

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