Janis Baeuerlen, M.D.
Individual provider Active NPI Psychiatry Physician · Berkeley, CA
NPI 1134540099 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1134540099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- G42063 (CA)
- Practice address
- 2702 Dana St
Berkeley, CA 94705-1136 - Phone
- (510) 666-0563
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42063 | CA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G42063 | CA | Yes |
Addresses
Primary practice location
2702 Dana St
Berkeley, CA 94705-1136
Mailing address
2702 Dana St
Berkeley, CA 94705-1136
Phone (510) 666-0563
Other providers in Berkeley, CA
- Anita Backer
- Howard D. Backer
- Briahn Bariya Badelle
- Trissa Baden
- Catherine Bae
- Alanna Elizabeth Baginski
- Sohaila Baheer
- Charles Howard Bailey
- Tamika Elecia Bailey
- Richard P. Bails
All providers in Berkeley, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.