DR. BAILEY P TACKETT (NPI# 1336786870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336786870 |
| Entity Type | Individual |
| Full Name | DR. BAILEY P TACKETT |
| Credential | PHD |
| Practice Address |
2024 82nd St Unit 103 Lubbock TX 79423-4343 |
| Mailing Address |
10408 Genoa Ave Lubbock TX 79424-3954 |
| Practice Telephone | 8063195426 |
| Mailing Telephone | 8032409802 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 38260 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2024 82ND ST UNIT 103 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215503 | Sharla Boyd, Ph.d., Pllc | Psychologist | 6824 Wayne Ave Ste 1, Lubbock, TX 79424-1649 | 2017-10-10 |
| 1760917371 | Discovery Medical Network Telehealth, LLC | Psychologist | 2950 50th St, Lubbock, TX 79413-4326 | 2017-04-21 |
| 1558806729 | Elizabeth Eliot Dennard | Psychologist | 5502 58th St Ste 600, Lubbock, TX 79414-2087 | 2016-12-27 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
| 1205044740 | Texas Tech University Psychology Clinic | Psychologist | 18th Street and Boston Avenue, Lubbock, TX 79409 | 2007-05-18 |
| 1699983098 | Richard Scotten Wampler | Psychologist | Marriage and Family Therapy, Aps, Box 41162, Texas Tech University, Lubbock, TX 79409-1162 | 2007-05-18 |
| 1154465409 | George Gary Walker | Psychologist | 5120 29th Dr Ste C, Lubbock, TX 79407-2612 | 2007-02-19 |
| 1013060946 | Patrick David Randolph | Psychologist | 5147 69th St Ste D, Lubbock, TX 79424-1646 | 2007-01-22 |
| 1093869695 | Stephen Cook | Psychologist | 18th & Boston, #111a, Lubbock, TX 79409-2051 | 2007-01-22 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.