MR. JACOB BAILS (NPI# 1639596257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639596257 |
| Entity Type | Individual |
| Full Name | MR. JACOB BAILS |
| Credential | ED.S |
| Practice Address |
860 Elm Rd Ne Warren OH 44483-5109 |
| Practice Telephone | 3308412316 |
| Mailing Telephone | 3308412316 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
OH1501443 | OH | Behavioral Health & Social Service Providers |
| Street Address |
860 ELM RD NE |
| City | WARREN |
| State | OH |
| Zip Code | 44483-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942685854 | Michael Prokop | Psychologist | 641 Fairway Dr Ne, Warren, OH 44483-5633 | 2015-07-22 |
| 1093125916 | Jeffrey William Johnson | Psychologist | 105 High Street, Warren, OH 44483-5195 | 2014-04-30 |
| 1578981270 | Marissa Davies | Psychologist | 2253 Atlantic St Ne, Warren, OH 44483-4470 | 2014-04-01 |
| 1003234816 | Tonya Hardway | Psychologist | 3465 Tod Ave Nw, Warren, OH 44485-1362 | 2014-03-31 |
| 1891213054 | Sarah Zuzik | Psychologist | 5759 Mahoning Ave Nw, Warren, OH 44483-1139 | 2017-09-07 |
| 1790103950 | Keith Joritz | Psychologist | 2020 Willard Ave Se, Warren, OH 44484-5061 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
| Find all providers with the same taxonomy | ||||
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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.