VSEVOLOD BAKIS PMHNP
NPI 1962242875
Nurse Practitioner - Psychiatric/Mental Health in Clifton Park, NY

Active since May 29, 2024
4 EMMA LN STE 402, CLIFTON PARK, NY 12065(518) 557-1712(518) 557-1713 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Vsevolod Bakis Pmhnp NPPES

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

VSEVOLOD BAKIS PMHNP (NPI 1962242875) is an individual psychiatric/mental health provider in Clifton Park, New York, licensed in New York (F405894) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1962242875
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameVSEVOLOD BAKISCredential: PMHNP
Location Address4 EMMA LN STE 402Clifton Park, NY 12065-3705
Mailing Address515 W Mountain RdQueensbury, NY 12804-8445 · (917) 257-6053
Fax(518) 557-1713
Sole ProprietorYes
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
NPI 1962242875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F405894
4 EMMA LN STE 402, Clifton Park, NY 12065

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Psychiatric/Mental Health)
4 EMMA LN STE 402
CLIFTON PARK, NY 12065
Nurse Practitioner (Psychiatric/Mental Health)
4 EMMA LN STE 402
CLIFTON PARK, NY 12065
Marriage & Family Therapist
4 EMMA LN STE 402
CLIFTON PARK, NY 12065
Nurse Practitioner (Psychiatric/Mental Health)
4 EMMA LN STE 402
CLIFTON PARK, NY 12065
Nurse Practitioner (Psychiatric/Mental Health)
4 EMMA LN STE 402
CLIFTON PARK, NY 12065

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 Vsevolod Bakis's NPI number?

The NPI number for Vsevolod Bakis is 1962242875. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Vsevolod Bakis located?

Vsevolod Bakis practices at 4 Emma Ln Ste 402, Clifton Park, NY 12065. The listed phone number is (518) 557-1712.

What is Vsevolod Bakis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Vsevolod Bakis was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.