Healthcare Provider Details

I. General information

NPI: 1275456451
Provider Name (Legal Business Name): MARINA BAYEVA, M.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MAIN STREET
STOCKBRIDGE MA
01262
US

IV. Provider business mailing address

318 STATE RD
PITTSFIELD MA
01201-8840
US

V. Phone/Fax

Practice location:
  • Phone: 413-931-5205
  • Fax: 412-298-4020
Mailing address:
  • Phone: 312-402-3006
  • Fax: 413-298-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. MARINA BAYEVA
Title or Position: PRACTICE OWNER
Credential:
Phone: 413-931-5205