Deborah M Baker, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8223 Issued in FL

Practice address

6950 Philips Hwy
Suite 11
Jacksonville, FL 32216-6074

Phone

(904) 239-3677

Fax

(904) 239-3278

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Deborah M Belcher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1376601534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 SHIRL LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077762",
            "telephone_number": "904-631-4355",
            "fax_number": "904-731-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 PHILIPS HWY",
            "address_2": "SUITE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166074",
            "telephone_number": "904-239-3677",
            "fax_number": "904-239-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BELCHER",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Gilliam Baker, M.D.
• Catherine F Baker, ARNP
• Corrie Alexis Baker, PAC
• Cynthia Parkerson Baker, LDO
• Danielle Baker, RN
• Elisabeth Bronwen Baker, M.S.
• Erika Laine Baker, ARNP
• Erin Baker
• Georgina Patricia Baker, APRN, MSN
• Jacqueline Baker, MH21380

• Clinical Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.