Individual provider Active NPI

Aaron Baker, PHD

  • Clinical Psychologist
  • Sioux City, IA
National Provider Identifier
1104214154
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
101471 Issued in IA
Practice address
1106 4TH St Ste 205
Sioux City, IA 51101-1958
Phone
(712) 252-1473
NPI assigned
Dec 29, 2014
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 076371 IA
Clinical Psychologist 103TC0700X 101471 IA Primary

Addresses

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

Other practice location 1

1551 Indian Hills Dr Ste 221
Sioux City, IA 51104-1857
Phone (712) 252-1473

Other identifiers 1

IdentifierTypeStateIssuer
1104214154MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230213001763 IA Practitioner - Clinical Psychologist 1951610757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baker Psychology, PLCGroup PAC ID 2961874375, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
076371IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Psychology, PLC CurrentSince Feb 2, 2023 Accepting new patients
Michael P Baker Dba Associates for Psycholoigcal & Therapy Services Mental Health Past Accepting new patients

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1104214154",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Indian Hills Dr Ste 221",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511041857",
            "country_code": "US",
            "telephone_number": "712-252-1473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "AARON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-29",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "076371",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "101471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104214154",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.