Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stefan A. Bailis, PSYD

Individual provider Cognitive & Behavioral Psychologist · NPI 1891086005

Dr. Stefan A. Bailis, PSYD is a Cognitive & Behavioral Psychologist in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
Specialties on file
8
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1600 University Ave W Ste 203
Saint Paul, MN 55104-3898
Phone: (651) 645-0980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP5333 (MN)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence LP5333 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP5333 (MN)
Counseling Psychologist Taxonomy 103TC1900X · Licence LP5333 (MN)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence LP5333 (MN)
Family Psychologist Taxonomy 103TF0000X · Licence LP5333 (MN)
Health Service Psychologist Taxonomy 103TH0100X · Licence LP5333 (MN)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence LP5333 (MN)

Record details

NPI number1891086005
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 21, 2011
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020

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