DR. PATRICIA BAGBY PH.D. NPI 1578551180

NPI Information

NPI: 1578551180
Provider Name: DR. PATRICIA BAGBY, PH.D.
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Individual
PECOS Registration: Yes
Address: 1151 30TH RD
LONG ISLAND CITY, NY
ZIP 11102
Phone: (212) 318-4067

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NPI Details

DR. Patricia Bagby, PH.D. is a clinical psychologist in Long Island City, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Patricia Bagby, PH.D. NPI is 1578551180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1151 30TH RD
LONG ISLAND CITY, NY
ZIP 11102-032
Phone: (212) 318-4067

The NPI 1578551180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/7/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	009108	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01 922 710	MEDICAID	NEW YORK
2	176929	OTHER	NEW YORK	HMC/MHN/EMPIRE BC/BS
3	0010793	OTHER	NEBRASKA	GHI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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