Individual provider Active NPI

Yadira Baez-Lockard, PSY. D.

  • Clinical Psychologist
  • Piedmont, SC
National Provider Identifier
1144590878
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1337 Issued in SC
Practice address
102 Commons Blvd
Suite C
Piedmont, SC 29673-7766
Phone
(864) 520-8152
NPI assigned
Jan 11, 2012
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 1337 SC Primary
Forensic Psychologist 103TF0200X 1337 SC

Addresses

Primary practice location

102 Commons Blvd
Suite C
Piedmont, SC 29673-7766

Mailing address

102 Commons Blvd
Suite C
Piedmont, SC 29673-7766

Other practice location 1

4124 Clemson Blvd Ste E
Anderson, SC 29621-1186
Phone (864) 225-1195

Other identifiers 1

IdentifierTypeStateIssuer
1366834160OtherNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008980 SC Practitioner - Clinical Psychologist 7719291939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 Commons Blvd
Suite C
Piedmont, SC 29673-7766

102 Commons Blvd C
Piedmont, SC 29673-7766
Phone (864) 220-9115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1337SCMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Yadira Baez-Lockard, Psy.D. LLC Multi-Specialty CurrentSince Mar 16, 2015 Accepting new patients

Locations

309 W Beltline Blvd
Anderson, SC 29625
Phone (846) 220-9115

102 Commons Blvd
#C
Piedmont, SC 29673
Phone (864) 220-9115

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1144590878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COMMONS BLVD",
            "address_2": "SUITE C",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COMMONS BLVD",
            "address_2": "SUITE C",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737766",
            "telephone_number": "864-520-8152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4124 Clemson Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211186",
            "country_code": "US",
            "telephone_number": "864-225-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAEZ-LOCKARD",
        "first_name": "YADIRA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1337",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "SC",
            "license": "1337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1366834160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

Verify at the official NPI Registry.