Active NPI
John Samuel Baer, PH.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1144330978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1221
- Practice address
- 1660 S. Columbian Way
S-116-Atc, VA Medical Center
Seattle, WA 98108-1597 - Phone
- (206) 768-5224
- Fax
- (206) 764-2293
- NPI assigned
- Aug 30, 2006
- Last updated
- Feb 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1221 | WA | Primary |
Addresses
Primary practice location
1660 S. Columbian Way
S-116-Atc, VA Medical Center
Seattle, WA 98108-1597
Mailing address
1660 S. Columbian Way
S-116-Atc, VA Medical Center
Seattle, WA 98108-1597
Phone (206) 768-5224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 20, 2020 through Mar 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1144330978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S. COLUMBIAN WAY",
"address_2": "S-116-ATC, VA MEDICAL CENTER",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081597",
"telephone_number": "206-768-5224",
"fax_number": "206-764-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S. COLUMBIAN WAY",
"address_2": "S-116-ATC, VA MEDICAL CENTER",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081597",
"telephone_number": "206-768-5224",
"fax_number": "206-764-2293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER",
"first_name": "JOHN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "1221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.