David Eric Baum, PSY.D., LICDC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

07686 Issued in OH

Practice address

9403 Kenwood Rd Ste C111
Blue Ash, OH 45242

Phone

(513) 792-1272

Fax

(513) 891-4449

NPI assigned

Dec 2, 2016

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Clarity Behavioral Health

  • Community/Behavioral Health Agency
  • Blue Ash, OH
  • NPI 1063913002
  NPD (past)

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1083157465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD STE C111",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426857",
            "telephone_number": "513-792-1272",
            "fax_number": "513-891-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD STE C111",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-792-1272",
            "fax_number": "513-891-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "DAVID",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161351",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "07686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalene Barstow
• Shawna Lynn Bartish, SLP
• Tara Batte
• Taylor Battle, LSW
• Kari Leigh Batton, MOT, OTR/L
• Hayley M. Baxter, LISW-SUPV
• Syoney Baytos, MT-BC
• James M Beach, LPCC
• Patricia G. Beach, LPCC-S
• Christopher Beaucham, RN

• Clinical Psychologist in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.