Provider Demographics
NPI:1518217272
Name:SCOTT BAKAY, PSYD, LLC
Entity Type:Organization
Organization Name:SCOTT BAKAY, PSYD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BAKAY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-503-5390
Mailing Address - Street 1:18023 KINGS PARK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2873
Mailing Address - Country:US
Mailing Address - Phone:813-503-5390
Mailing Address - Fax:
Practice Address - Street 1:18023 KINGS PARK DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2873
Practice Address - Country:US
Practice Address - Phone:813-503-5390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8524103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty