Healthcare Provider Details

I. General information

NPI: 1760316145
Provider Name (Legal Business Name): BAILEY TODD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 W 49TH ST STE 204A
SIOUX FALLS SD
57106-4255
US

IV. Provider business mailing address

406 W BECK ST
WORTHING SD
57077-2019
US

V. Phone/Fax

Practice location:
  • Phone: 605-681-3345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: