Individual provider Active NPI

Erin Jenkins Baker, PSY.D.

  • Psychologist
  • New Albany, IN
National Provider Identifier
1124200340
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20042850A Issued in IN
Practice address
3103 Blackiston Mill Rd
New Albany, IN 47150-9536
Phone
(812) 590-7160
Fax
(812) 590-7160
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 129459 KY
Psychologist 103T00000X 20042850A IN Primary

Addresses

Primary practice location

3103 Blackiston Mill Rd
New Albany, IN 47150-9536

Mailing address

3103 Blackiston Mill Rd
New Albany, IN 47150-9536
Phone (812) 590-7160

Other identifiers 1

IdentifierTypeStateIssuer
300014913MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161010000633 KY Practitioner - Clinical Psychologist 6901985654 Reassigns benefits to 1 organization
I20240311001537 IN Practitioner - Clinical Psychologist 6901985654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Auxilium Psychological Services, LLC Psychologist CurrentSince Aug 3, 2017 Accepting new patients
Seven Counties Services, Inc. Psychologist CurrentSince Aug 29, 2016 Accepting new patients

Locations

3103 Blackiston Mill Rd
New Albany, IN 47150
Phone (812) 590-7160

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

914 E Broadway
Fl 2
Louisville, KY 40204
Phone (502) 589-3008

101 W Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 589-8615

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.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1124200340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 BLACKISTON MILL RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509536",
            "telephone_number": "812-590-7160",
            "fax_number": "812-590-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BLACKISTON MILL RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509536",
            "telephone_number": "812-590-7160",
            "fax_number": "812-590-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS BAKER",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129459",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042850A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300014913",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.