Stacey Baker Roberts, PSY.D., LMHC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9916 Issued in MA

Practice address

51 Union St
Suite 214
Worcester, MA 01608-1194

Phone

(508) 769-7812

Fax

(508) 519-5882

NPI assigned

Dec 19, 2006

Last updated

Apr 22, 2015By 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

Other names 1

• Dr. Stacey Baker Other name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baker Mental Health Consulting, LLC

  • Psychologist
  • Worcester, MA
  • NPI 1548693757
  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1265595425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 UNION ST",
            "address_2": "SUITE 214",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081194",
            "telephone_number": "508-769-7812",
            "fax_number": "508-519-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UNION ST",
            "address_2": "SUITE 214",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081194",
            "telephone_number": "508-769-7812",
            "fax_number": "508-519-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "STACEY",
        "middle_name": "BAKER",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BAKER",
            "prefix": "DR.",
            "credential": "PSY.D., LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ethan C Roberts
• Jacob Roberts
• Kelly Roberts
• Kristine Roberts, RN
• Sarah Roberts
• Stacey M Roberts
• Lisa Allean Robertson
• Rachel Robertson
• Sarah Katherine Robertson
• Devon I Robichaud, NP

• Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.