Individual provider Active NPI

Chandra Eucalyptus Baylor, MFT, BC-DMT, CEDS

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1215959408
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT43942 Issued in CA
Practice address
25401 Cabot Rd Ste 115
Laguna Hills, CA 92653-5530
Phone
(949) 215-0612
Fax
(949) 215-0636
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT43942 CA Primary

Addresses

Primary practice location

25401 Cabot Rd Ste 115
Laguna Hills, CA 92653-5530

Mailing address

25401 Cabot Rd Ste 115
Laguna Hills, CA 92653-5530
Phone (949) 215-0612

Other identifiers 1

IdentifierTypeStateIssuer
3632960OtherCACHANDRA CHAIKIN, MS, LICENSED MARRIAGE FAMILY THERAPY, APC

Other names 1

  • Chandra Eucalyptus Chaikin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT43942CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chandra Chaikin Ms Licensedmarriage Marriage & Family Therapist CurrentSince Jan 5, 2025 Accepting new patients

Locations

25401 Cabot Rd
Ste 115
Laguna Hills, CA 92653
Phone (949) 215-0612

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1215959408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD STE 115",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535530",
            "telephone_number": "949-215-0612",
            "fax_number": "949-215-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD STE 115",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535530",
            "telephone_number": "949-215-0612",
            "fax_number": "949-215-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLOR",
        "first_name": "CHANDRA",
        "middle_name": "EUCALYPTUS",
        "name_prefix": "Ms.",
        "credential": "MFT, BC-DMT, CEDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT43942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHANDRA CHAIKIN, MS, LICENSED MARRIAGE FAMILY THERAPY, APC",
            "identifier": "3632960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDRA",
            "last_name": "CHAIKIN",
            "middle_name": "EUCALYPTUS",
            "credential": "MS, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.