MEDICARE: BAILEY CATION PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist
2	103T00000X	Psychologist

General Provider Information

NPI Number	:	1750949053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY CATION PSYD

Provider Business Mailing Address
First Line	:	PO BOX 7411901
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-1901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 BROADWAY BLVD STE 316
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3305
Country	:	US
Telephone Number	:	816-932-1711
Fax Number	:	816-932-1719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	09/11/2025

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Directions to “ BAILEY CATION PSYD” Practice Location

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