NPIMap

Ralph M Baker, PHD

Individual provider Active NPI Clinical Psychologist · Yerington, NV

NPI 1083775209 · NPPES record last updated Jan 9, 2022

Key facts

NPI
1083775209
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PY0359 (NV)
Practice address
215 W, Bridge St.
Ste 5
Yerington, NV 89447-2544
Phone
(775) 463-3191
Fax
(775) 463-4641
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

  • State of Nevada Mental Health Clinic/Center (Including Community Mental Health Center) · Winnemucca, NV · NPI 1275623530
    NPD (past)
  • State of Nevada Mental Health Clinic/Center (Including Community Mental Health Center) · Silver Springs, NV · NPI 1811079742
    NPD (past)

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0359NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0359 NV Yes

Addresses

Primary practice location

215 W, Bridge St.
Ste 5
Yerington, NV 89447-2544

Mailing address

727 Fairview Dr.
Ste a
Carson City, NV 89701-5493
Phone (775) 684-5000

Other providers in Yerington, NV

All providers in Yerington, NV · Clinical Psychologist in Nevada

Sources for this page

Verify at the official NPI Registry.