Barbara Baumgardner, PHD, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP4352 Issued in AZ

Practice address

600 N Bullard Ave Ste 10
Goodyear, AZ 85338-2518

Phone

(623) 262-8915

Fax

(623) 536-2008

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1295972768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BULLARD AVE STE 10",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382518",
            "telephone_number": "623-262-8915",
            "fax_number": "623-536-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BULLARD AVE STE 10",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382518",
            "telephone_number": "623-262-8915",
            "fax_number": "623-536-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PHD, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3970",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Bass
• Erik Bassett, DPT
• Hsu Fun Bauer
• Stacy Bauman, RN
• Adam Franklin Baumgardner, D.C.
• Jennifer Baumgardner, PHD
• Batrony Bazilme, MD, PA, SA-C
• Stephen Fils Bazilme, PA, SA-C
• BBR Sole ,Inc.
• BBR Sole, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.