Stefan A. Bailis, PSYD
NPI 1891086005ActiveIndividual· Psychologist· Saint Paul, MN
Psychologist (PSYD) in Saint Paul, Minnesota, licensed in MN, with an NPI issued in April 2011. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1891086005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Apr 21, 2011 |
| Last updated in NPPES | Apr 14, 2020 |
| Certified by provider | Apr 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP5333 | MN |
| Psychologist, Cognitive & Behavioral | 103TB0200X | LP5333 | MN |
| Psychologist, Clinical | 103TC0700X | LP5333 | MN |
| Psychologist, Counseling | 103TC1900X | LP5333 | MN |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | LP5333 | MN |
| Psychologist, Family | 103TF0000X | LP5333 | MN |
| Psychologist, Health Service | 103TH0100X | LP5333 | MN |
| Psychologist, Group Psychotherapy | 103TP2701X | LP5333 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
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