DR. STEFAN A. BAILIS PSYD
NPI 1891086005
Psychologist in Saint Paul, MN

Active since April 21, 2011PECOS Enrolled
1600 UNIVERSITY AVE W, SUITE 203, SAINT PAUL, MN 55104(651) 645-0980 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stefan A. Bailis Psyd NPPES

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

DR. STEFAN A. BAILIS PSYD (NPI 1891086005) is an individual psychologist in Saint Paul, Minnesota, licensed in Minnesota (LP5333) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891086005
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. STEFAN A. BAILISCredential: PSYD
Location Address1600 UNIVERSITY AVE W, SUITE 203Saint Paul, MN 55104-3898
Mailing Address1910 E 86th St, Apt. 336Bloomington, MN 55425-2125 · (651) 283-6667
Sole ProprietorYes
Enumeration DateApril 21, 2011
Last NPPES UpdateApril 14, 2020
NPPES CertifiedApril 14, 2020
NPI 1891086005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP5333
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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License LP5333 (MN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP5333 (MN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LP5333 (MN)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License LP5333 (MN)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License LP5333 (MN)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License LP5333 (MN)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License LP5333 (MN)
1600 UNIVERSITY AVE W, Saint Paul, MN 55104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stefan A. Bailis Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Podiatrist (Foot & Ankle Surgery)
1600 UNIVERSITY AVE W, SUITE 19-C
SAINT PAUL, MN 55104
Podiatrist (Foot & Ankle Surgery)
1600 UNIVERSITY AVE W, SUITE 19-C
SAINT PAUL, MN 55104
Occupational Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Occupational Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Physical Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Occupational Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Physical Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Physical Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104

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 Stefan Bailis's NPI number?

The NPI number for Stefan Bailis is 1891086005. It was assigned to this individual provider in the NPPES registry on April 21, 2011.

Where is Stefan Bailis located?

Stefan Bailis practices at 1600 University Ave W Suite 203, Saint Paul, MN 55104. The listed phone number is (651) 645-0980.

What is Stefan Bailis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stefan Bailis enrolled in Medicare?

Yes. Stefan Bailis is registered in the Medicare PECOS enrollment system.

What insurance does Stefan Bailis accept?

Health plans from HealthPartners list Stefan Bailis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stefan Bailis was last updated on April 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.