Individual provider Active NPI

Pamela L Baker, PSY.D

  • Psychologist
  • Coconut Creek, FL
National Provider Identifier
1184975088
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5489 Wiles Rd Ste 305
Coconut Creek, FL 33073-4220
Phone
(954) 288-9393
Fax
(954) 333-3573
NPI assigned
Oct 2, 2012
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

5489 Wiles Rd Ste 305
Coconut Creek, FL 33073-4220

Mailing address

5489 Wiles Rd Ste 305
Coconut Creek, FL 33073-4220
Phone (954) 288-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140929001755 FL Practitioner - Clinical Psychologist 0547480311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dana Ratsprecher Psy.D., LLC CurrentSince Jul 1, 2021 Accepting new patients
David a Yudell, Psy.D., P.a. Psychologist PastSince Apr 5, 2017 Accepting new patients
Whole Health Psychological Center Past Accepting new patients

Organizations & group practices 3

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1184975088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 WILES RD STE 305",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734220",
            "telephone_number": "954-288-9393",
            "fax_number": "954-333-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 WILES RD STE 305",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734220",
            "telephone_number": "954-288-9393",
            "fax_number": "954-333-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PAMELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.