Active NPI
Victoria M Baptiste, PH.D.
- Clinical Psychologist
- Pleasanton, CA
National Provider Identifier
1306390893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32587
- Practice address
- 4361 Railroad Ave
Pleasanton, CA 94566-6611 - Phone
- (415) 991-3031
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 32587 | CA | Primary |
Addresses
Primary practice location
4361 Railroad Ave
Pleasanton, CA 94566-6611
Mailing address
121 San Anselmo Avenue
P.O. Box 1735
San Anselmo, CA 94979
Phone (802) 318-3138
Other practice location 1
250 Bon Air Rd
Marin County Health and Human Services - BHRS
Greenbrae, CA 94904-1702
Phone (802) 318-3138
Other practice location 2
211 San Anselmo Ave Apt 2
San Anselmo, CA 94960-2824
Phone (415) 991-3031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32587 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1306390893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SAN ANSELMO AVENUE",
"address_2": "P.O. BOX 1735",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "94979",
"telephone_number": "802-318-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4361 RAILROAD AVE",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666611",
"telephone_number": "415-991-3031"
}
],
"practiceLocations": [
{
"address_1": "250 Bon Air Rd",
"address_2": "Marin County Health and Human Services - BHRS",
"address_purpose": "LOCATION",
"city": "Greenbrae",
"state": "CA",
"postal_code": "949041702",
"country_code": "US",
"telephone_number": "802-318-3138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 San Anselmo Ave Apt 2",
"address_purpose": "LOCATION",
"city": "San Anselmo",
"state": "CA",
"postal_code": "949602824",
"country_code": "US",
"telephone_number": "415-991-3031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAPTISTE",
"first_name": "VICTORIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.