Joel J Baum, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012284 Issued in NY

Practice address

344 E 87TH St Apt 2a
New York, NY 10128-4863

Phone

(212) 873-3254

NPI assigned

Nov 1, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Joel Jonathan Baum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Bethany Medical Clinic of New York, PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1902173313
  NPD (past)
• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1386944734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 SILVERMINE AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068501608",
            "telephone_number": "203-840-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E 87TH ST APT 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284863",
            "telephone_number": "212-873-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "JOEL",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01616215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEL",
            "last_name": "BAUM",
            "middle_name": "JONATHAN",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Bauhs, CRNA
• Brittany Baum
• Carol G. Baum, M.D.
• Danielle Emilie Baum, RN
• Elizabeth Baum, M.A., MFT ASSOCIATE
• Limor Baum, M.S., R.D
• Marla Rachel Baum, PSY.D.
• Michael S Baum, MD
• Rachel Baum, MD
• Ricarda Louise Baum, M.D.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.