Individual provider Active NPI

Mary Baker, MA

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1124425558
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107830 Issued in CA
Practice address
21311 Hawthorne Blvd Ste 330
Torrance, CA 90503-5689
Phone
(310) 683-9340
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF 88073CAMDMarriage & Family Therapist
107830CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Clare Matrix CurrentSince Sep 22, 2024 Accepting new patients
Clare Matrix CurrentSince Sep 22, 2024 Accepting new patients
Clare Matrix CurrentSince Sep 22, 2024 Accepting new patients
Clare Matrix Current Accepting new patients
Clare Matrix PastSince Sep 22, 2024 Accepting new patients
Alliance Human Services, Inc. PastSince Sep 1, 2019 Accepting new patients

Locations

844 Pico Blvd
Santa Monica, CA 90405
Phone (205) 225-2979

2644 30th St
Ste 100
Santa Monica, CA 90405
Phone 31031462003426

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 and National Provider Directory roles.

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

Verify at the official NPI Registry.