NPIMap

Organization Active NPI

Lisa Baker, PHD, LLC

  • Counseling Psychologist
  • Madison, WI
National Provider Identifier
1033589775
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2805 Issued in WI
Legal business name
LISA BAKER, PHD, LLC
Practice address
715 Hill St
Suite 140
Madison, WI 53705-3542
Phone
(608) 622-0376
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Lisa M Baker, PHD
Title
Psychologist/Founder
Phone
(608) 622-0376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 2805 WI Primary

Addresses

Primary practice location

715 Hill St
Suite 140
Madison, WI 53705-3542

Mailing address

715 Hill St
Suite 140
Madison, WI 53705-3542
Phone (608) 622-0376

Other identifiers 1

IdentifierTypeStateIssuer
1821044033OtherWINPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1033589775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HILL ST",
            "address_2": "SUITE 140",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053542",
            "telephone_number": "608-622-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HILL ST",
            "address_2": "SUITE 140",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053542",
            "telephone_number": "608-622-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA BAKER, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST/FOUNDER",
        "authorized_official_telephone_number": "608-622-0376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "2805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821044033",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.