Annemarie Baldauf, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11172 Issued in MA

Practice address

1208 Massachusetts Ave Ste 7
Cambridge, MA 02138-3828

Phone

(617) 958-8387

Fax

(617) 830-7237

NPI assigned

Mar 29, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 17, 2024 through Jul 17, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Annemarie Baldauf, PSYD, PLLC

  • Clinical Psychologist
  • Cambridge, MA
  • NPI 1114537131
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1003348087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 MASSACHUSETTS AVE STE 7",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383828",
            "telephone_number": "617-958-8387",
            "fax_number": "617-830-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 MASSACHUSETTS AVE STE 7",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383828",
            "telephone_number": "617-958-8387",
            "fax_number": "617-830-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDAUF",
        "first_name": "ANNEMARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armand Baklajian, PHARMD
• Gauthami Balagopal, MD
• Sheelan Balata
• Emily Moreen Balazs
• Dennis Balcom, MSW
• Jacob Balin, MD
• Abigail Balkin
• Lucinda Jane Ballantyne, MSW
• Curtis Lamar Ballard, RN
• Johnye Ballenger, MD

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.