Healthcare Provider Details

I. General information

NPI: 1750949053
Provider Name (Legal Business Name): BAILEY CATION PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2019
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 BROADWAY BLVD STE 316
KANSAS CITY MO
64111-3305
US

IV. Provider business mailing address

PO BOX 7411901
CHICAGO IL
60674-1901
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-1711
  • Fax: 816-932-1719
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2025009670
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: