Active NPIIndividual providerSole proprietor

Susan Baker, PSYD

Psychologist in Medford, Massachusetts

NPI Number1225521792
Practice location
39 Stanley Ave, Medford, MA 02155-5617
Fax
—
Last updated
June 11, 2018

Susan Baker is a Psychologist based in Medford, MA. Susan Baker practices in Medford, MA and has the professional credentials of PSYD. The NPI Number for Susan Baker is 1225521792 and holds a License No. 4513-PY-PR (MA). The current practice location address for Susan Baker is 39 Stanley Ave, Medford, MA 02155-5617 and can be reached out via phone at 781-395-1281.

Provider Profile Details

NPI Number
1225521792
Provider Name
Susan Baker
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
39 Stanley Ave, Medford, MA 02155-5617
Phone Number
781-395-1281
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2018
Last Update Date
June 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Stanley Ave
Medford, MA 02155-5617
Zip
02155-5617
Phone Number
781-395-1281
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
39 Stanley Ave
Medford, MA 02155-5617
City
Medford
State
MA
Zip
02155-5617
Phone Number
781-395-1281

License Information

License Number
4513-PY-PR
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan Baker, PSYD?

The NPI number of Susan Baker, PSYD is 1225521792. It was assigned on June 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Susan Baker, PSYD?

Susan Baker, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 4513-PY-PR.

Where does Susan Baker, PSYD practice?

The practice location is 39 Stanley Ave, Medford, MA 02155-5617. The office can be reached at 781-395-1281 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225521792 directly on the NPPES registry website.

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