Active NPI
Matthew Ryan Baity, PHD
- Clinical Psychologist
- Sacramento, CA
National Provider Identifier
1013981505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22917
- Practice address
- 2030 W El Camino Ave
Alliant International University
Sacramento, CA 95833-1866 - Phone
- (510) 274-8567
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22917 | CA | Primary |
Addresses
Primary practice location
2030 W El Camino Ave
Alliant International University
Sacramento, CA 95833-1866
Mailing address
2030 W El Camino Ave
Alliant International University
Sacramento, CA 95833-1866
Phone (510) 274-8567
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1854216 | Medicaid | MA | |
| W06340 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8236 | MA | MD | Mental Health Counselor |
| 22917 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1013981505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 W EL CAMINO AVE",
"address_2": "ALLIANT INTERNATIONAL UNIVERSITY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958331866",
"telephone_number": "510-274-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 W EL CAMINO AVE",
"address_2": "ALLIANT INTERNATIONAL UNIVERSITY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958331866",
"telephone_number": "510-274-8567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAITY",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "22917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1854216",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "W06340",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.