Patricia Jane Baker, MARRIAGE & FAMILY TH

Individual provider Active NPI Marriage & Family Therapist · Cupertino, CA

NPI 1386747996 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386747996
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC14464 (CA)
Practice address
20833 Stevens Creek Blvd
Suite 100
Cupertino, CA 95014
Phone
(408) 873-1592
Fax
(408) 342-0617
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC14464CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Psychologists & Counselors, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC14464 CA Yes

Addresses

Primary practice location

20833 Stevens Creek Blvd
Suite 100
Cupertino, CA 95014

Mailing address

20833 Stevens Creek Blvd
Suite 100
Cupertino, CA 95014
Phone (408) 873-1592

Other identifiers

IdentifierTypeStateIssuer
ZZZ8712ZOtherCABLUE SHIELD BLUE CROSS
ID067117OtherCAMENTAL HEALTH NETWORK

Other names

  • Ms. Patricia Luther Baker Professional name

Other providers in Cupertino, CA

All providers in Cupertino, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.