Organization Active NPI

Baker Psychology, PLC

  • Psychologist
  • Sioux City, IA
National Provider Identifier
1003521782
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BAKER PSYCHOLOGY, PLC
Practice address
1106 4TH St Ste 205
Sioux City, IA 51101-1958
Phone
(712) 252-1473
Fax
(712) 252-5672
NPI assigned
Jan 17, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Aaron Michael Baker, PH.D.NPI 1104214154
Title
Psychologist/Owner
Phone
(712) 252-1473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20230213001735 IA Part B Supplier - Clinic/Group Practice 2961874375 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux City, IA

National Provider Directory

National Provider Directory

Locations

1106 4th St
Ste 205
Sioux City, IA 51101
Phone (712) 252-1473

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1106 4TH St Ste 205
Sioux City, IA 51101-1958

Mailing address

1106 4TH St Ste 205
Sioux City, IA 51101-1958
Phone (712) 252-1473

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL bakerpsychology.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 17, 2023.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1003521782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 4TH ST STE 205",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011958",
            "telephone_number": "712-252-1473",
            "fax_number": "712-252-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 4TH ST STE 205",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011958",
            "telephone_number": "712-252-1473",
            "fax_number": "712-252-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER PSYCHOLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "712-252-1473",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bakerpsychology.com",
            "affiliation": "N",
            "address_1": "1106 4th St Ste 205",
            "city": "Sioux City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "511011958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.