Organization Active NPI

Annemarie Baldauf, PSYD, PLLC

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1114537131
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ANNEMARIE BALDAUF, PSYD, PLLC
Practice address
1208 Massachusetts Ave Ste 7
Cambridge, MA 02138-3828
Phone
(617) 958-8387
NPI assigned
Aug 4, 2020
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Dr. Annemarie Baldauf, PSYDNPI 1003348087
Title
Sole Member
Phone
(312) 806-1884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1208 Massachusetts Ave Ste 7
Cambridge, MA 02138-3828

Mailing address

22 Lincoln St Unit 3
Somerville, MA 02145-3460
Phone (312) 806-1884

National Provider Directory

National Provider Directory

Locations

1208 Massachusetts Ave
Ste 7
Cambridge, MA 02138
Phone (617) 958-8387

49 Hancock St
Ste 104
Cambridge, MA 02139
Phone (617) 576-9600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1114537131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LINCOLN ST UNIT 3",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453460",
            "telephone_number": "312-806-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 MASSACHUSETTS AVE STE 7",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383828",
            "telephone_number": "617-958-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNEMARIE BALDAUF, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "BALDAUF",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "312-806-1884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.