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Deactivated NPI 1922005107 Deactivated / Inactive NPI Male Practitioner

Dr. Scott L Bayless , PhD

Psychologist - Cognitive & Behavioral • Modesto, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Scott Bayless has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 04, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Scott Bayless, PhD was a registered Psychologist - Cognitive & Behavioral practicing in Modesto, CA. Throughout an active medical career spanning 1 years, Dr. Bayless provided care at the practice location at 1844 SCENIC DR APT 239 until profile deactivation on 2006-03-20.

Historical Medicare Part B clinical services included psychiatric diagnostic evaluation, psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1844 Scenic Dr Apt 239

Modesto, CA 953556026

Telephone 2092274689
Fax 2092272326

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Modesto, CA (254 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
8.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
113 112 $170.00 $155.57

Medical Specialties & State Licenses

CMS Verified: 2022-02-22
Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License CA PSY13401

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID No Other Identifiers
1922005107 (CA)
Commercial Insurance / Payer ID State License
PSY13401 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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Updated Practice Location February 22, 2022

Registered at 1844 SCENIC DR APT 239, MODESTO, CA 953556026 (Tel: 2092274689)

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Updated Business Mailing Address February 22, 2022

Registered at PO BOX 579048, MODESTO, CA 953579048 (Tel: 2092746892)

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2022

Psychologist (License #PSY13401 in CA)

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Updated Practice Location July 08, 2007

Registered at 112 E FAIRMONT AVE, SUITE B, MODESTO, CA 953540221 (Tel: 2095221901)

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Updated Business Mailing Address July 08, 2007

Registered at 112 E FAIRMONT AVE, SUITE B, MODESTO, CA 953540221 (Tel: 2095221901)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT BAYLESS, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #PSY13401 in CA)

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NPI Profile Reactivated April 06, 2006

Record officially reactivated for active practice on April 06, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration July 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922005107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2005
Last Update: February 22, 2022
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

Po Box 579048

Modesto, CA 953579048

Phone: 2092746892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.