Individual provider Active NPI

Alla Victorovna Baskakova, M.D.

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1235163650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.085424 Issued in OH
Practice address
1630 Sycamore St
Cincinnati, OH 45202-8537
Phone
(513) 621-2232
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.085424 OH Primary

Addresses

Primary practice location

1630 Sycamore St
Cincinnati, OH 45202-8537

Mailing address

1630 Sycamore St
Cincinnati, OH 45202-8537
Phone (513) 621-2232

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21003WVMDProfessional Counselor
35.085424OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Comprehensive Community Mental Health Center, Inc. PastSince Aug 15, 2022 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients
Valley Comprehensive Community Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235163650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SYCAMORE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028537",
            "telephone_number": "513-621-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SYCAMORE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452028537",
            "telephone_number": "513-621-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKAKOVA",
        "first_name": "ALLA",
        "middle_name": "VICTOROVNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.085424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.