Bethany Baker, M.A., PSY.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1390718 Issued in OH

Practice address

153 N Main St
Oberlin, OH 44074-1173

Phone

(440) 774-1458

Fax

(440) 774-4492

NPI assigned

Sep 23, 2014

Last updated

Sep 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1255733143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N MAIN ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741173",
            "telephone_number": "440-774-1458",
            "fax_number": "440-774-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N MAIN ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741173",
            "telephone_number": "440-774-1458",
            "fax_number": "440-774-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BETHANY",
        "name_prefix": "Mrs.",
        "credential": "M.A., PSY.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "1390718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• AMC Physicians Inc.
• Justus James Anderson
• Apomnow (Carmen D Gray)
• Judith Linn Appleton, M.D.
• Arnold G. Milner, D.P.M.
• Jane Balyer, LPN
• Christina Diane Barnett
• Kim Barry, MS, AT
• Rebecca L Beck, CFNP
• Brenda Sue Beursken

• School Psychologist in Oberlin, OH
• Providers in Oberlin, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.