Active NPI
Mary Baker, MA
- Marriage & Family Therapist
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 107830
- Practice address
- 21311 Hawthorne Blvd Ste 330
Torrance, CA 90503-5689 - Phone
- (310) 683-9340
- NPI assigned
- Dec 1, 2014
- Last updated
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 88073 | CA | |
| Marriage & Family Therapist | 106H00000X | 107830 | CA | Primary |
Addresses
Primary practice location
21311 Hawthorne Blvd Ste 330
Torrance, CA 90503-5689
Mailing address
21311 Hawthorne Blvd Ste 330
Torrance, CA 90503-5689
Phone (310) 792-8920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 88073 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clare Matrix | Current | Accepting new patients | |
| Clare Matrix | Current | Accepting new patients | |
| Clare Matrix | Current | Accepting new patients | |
| Clare Matrix | Current | Accepting new patients | |
| Alliance Human Services, Inc. | Past | Accepting new patients | |
| Clare Matrix | Past | Accepting new patients |
Locations
2644 30th St
Ste 100
Santa Monica, CA 90405
Phone 31031462003426
844 Pico Blvd
Santa Monica, CA 90405
Phone 3103146200 ext. 3576
909 Pico Blvd
Santa Monica, CA 90405
Phone (866) 452-5273
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Santa Monica, CA
- NPI 1023520384
-
- Substance Abuse Rehabilitation Facility
- Santa Monica, CA
- NPI 1043537913
-
- Substance Abuse Rehabilitation Facility
- Santa Monica, CA
- NPI 1104398742
-
dba CLARE Foundation Inc., dba MATRIX Institute on Addictions
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1235349267
-
- Foster Care Agency
- Torrance, CA
- NPI 1134466246
-
- Substance Abuse Rehabilitation Facility
- Santa Monica, CA
- NPI 1851645394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1124425558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21311 HAWTHORNE BLVD STE 330",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035689",
"telephone_number": "310-792-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21311 HAWTHORNE BLVD STE 330",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035689",
"telephone_number": "310-683-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MARY",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-01",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 88073",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "107830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.