Yadira Baez-Lockard, Psy.D. LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1337 Issued in SC

Legal business name

YADIRA BAEZ-LOCKARD, PSY.D. LLC

Practice address

102 Commons Blvd Ste C
Piedmont, SC 29673-7766

Phone

(864) 220-9115

NPI assigned

Mar 3, 2015

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yadira Baez-Lockard, PSY.D.NPI 1144590878

Title

Owner

Phone

(864) 220-9115

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yadira Baez-Lockard, PSY. D.

  • Clinical Psychologist
  • Piedmont, SC
  • NPI 1144590878

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1366834160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COMMONS BLVD STE C",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737766",
            "telephone_number": "864-220-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COMMONS BLVD STE C",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737766",
            "telephone_number": "864-220-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADIRA BAEZ-LOCKARD, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "BAEZ-LOCKARD",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-220-9115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0566",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Shea Williams, AGNP-C
• Kristin Anne Williamson, LISW-CP
• Jasmine Wilson, FNP
• Stephanie Jean Wilson
• Summer Angel Wilson, RN

• Community/Behavioral Health Agency in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.