Individual provider Active NPI

Christine A. Baser, RN, PH.D.

  • Clinical Neuropsychologist
  • Carlsbad, CA
National Provider Identifier
1285623546
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY9695 Issued in CA
Practice address
2011 Palomar Airport Rd Ste 205
Carlsbad, CA 92011-1431
Phone
(760) 431-2695
Fax
(760) 431-2695
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY9695 CA
Clinical Psychologist 103TC0700X PSY9695 CA
Clinical Neuropsychologist 103G00000X PSY9695 CA Primary

Addresses

Primary practice location

2011 Palomar Airport Rd Ste 205
Carlsbad, CA 92011-1431

Mailing address

2011 Palomar Airport Rd Ste 205
Carlsbad, CA 92011-1431
Phone (760) 431-2695

Other practice location 1

2011 Palomar Airport Rd
Suite 205
Carlsbad, CA 92011-1430
Phone (760) 431-2695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040519000977 CA Practitioner - Clinical Psychologist 9234120247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2011 Palomar Airport Rd
Carlsbad, CA 92011-1431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
9695CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Christine a Baser R N PH D a Professional Psychology Corp Clinical CurrentSince Jul 1, 1990 Accepting new patients

Locations

2011 Palomar Airport Rd
Ste 205
Carlsbad, CA 92011
Phone (760) 334-8424

Interoperability endpoints

  • Direct secure messaging: cbaser42532@scrippshlth.medalliesdirect.net

Organizations & group practices 2

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1285623546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PALOMAR AIRPORT RD STE 205",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111431",
            "telephone_number": "760-431-2695",
            "fax_number": "760-431-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 PALOMAR AIRPORT RD STE 205",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111431",
            "telephone_number": "760-431-2695",
            "fax_number": "760-431-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Palomar Airport Rd",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920111430",
            "country_code": "US",
            "telephone_number": "760-431-2695",
            "fax_number": "760-431-2695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASER",
        "first_name": "CHRISTINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "RN, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9695",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9695",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY9695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.