Individual provider Active NPI

Timothy Joseph Baer, PSYD

  • Clinical Neuropsychologist
  • Greensboro, NC
National Provider Identifier
1295263051
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6704 Issued in NC
Practice address
1126 N Church St Ste 103
Greensboro, NC 27401-1035
Phone
(336) 663-4900
Fax
(336) 663-4920
NPI assigned
May 24, 2017
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6704 NC Primary

Addresses

Primary practice location

1126 N Church St Ste 103
Greensboro, NC 27401-1035

Mailing address

PO Box 745040
Atlanta, GA 30374-5040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbaer719507@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250220002547 NC Practitioner - Clinical Psychologist 7113447111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1126 N Church St
Suite 103
Greensboro, NC 27401-1035
Phone (336) 663-4900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Nov 4, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Nov 4, 2024 Accepting new patients

Locations

1126 N Church St
Ste 103
Greensboro, NC 27401
Phone (336) 379-0941

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

510 N Elam Ave
Ste 302
Greensboro, NC 27403
Phone (336) 297-2271

Interoperability endpoints

  • Direct secure messaging: tbaer719507@direct.conehealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1295263051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745040",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N CHURCH ST STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011035",
            "telephone_number": "336-663-4900",
            "fax_number": "336-663-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "6704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbaer719507@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1126 N Church St Ste 103",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.