Charles Bruce Baker, M.D.
Individual provider Active NPI Psychiatry Physician · New Haven, CT
NPI 1184782013 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184782013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 035021 (CT)
- Practice address
- 400 Mansfield St
New Haven, CT 06511-2023 - Phone
- (203) 776-5540
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Yale University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Connecticut
Practice addresses (Care Compare)
1000 Silver St
Middletown, CT 06457-3940
Phone (860) 262-5200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070724000740 | CT | Practitioner - Psychiatry | 1456452101 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients | |
| State of Connecticut | Past | Accepting new patients |
Locations
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
34 Park St
North Haven, CT 06519
Phone (203) 974-7417
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 035021 | CT | Yes |
Addresses
Primary practice location
400 Mansfield St
New Haven, CT 06511-2023
Mailing address
400 Mansfield St
New Haven, CT 06511-2023
Other providers in New Haven, CT
- Lori A Baily
- Ranbir Bains
- Evan Charles Bair
- Gerry Baird
- Renata Alexandra Bajaj
- Elizabeth Baker
- Emily Baker
- Hollie Marie Baker
- Madison Baker
- Marie Kathryn Baker
All providers in New Haven, CT · Psychiatry Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.