NPIMap

Organization Active NPI

Baird Psychology Services, LLC

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1396140489
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6698 Issued in FL
Legal business name
BAIRD PSYCHOLOGY SERVICES, LLC
Practice address
2831 Ringling Blvd Ste 207C
Sarasota, FL 34237-5351
Phone
(941) 362-9972
Fax
(941) 362-1999
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Nancy Baird, PSYDNPI 1306865712
Title
Sole Member/Psychologist
Phone
(941) 362-9972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6698 FL Primary

Addresses

Primary practice location

2831 Ringling Blvd Ste 207C
Sarasota, FL 34237-5351

Mailing address

2831 Ringling Blvd Ste 207C
Sarasota, FL 34237-5351
Phone (941) 362-9972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141113000333 FL Part B Supplier - Clinic/Group Practice 8527280205 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory
Tax ID family
Baird Psychology Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2831 Ringling Blvd
Ste 207C
Sarasota, FL 34237
Phone (941) 362-9972

2803 Fruitville Rd
Ste 125
Sarasota, FL 34237
Phone (941) 362-9972

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1396140489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 RINGLING BLVD STE 207C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375351",
            "telephone_number": "941-362-9972",
            "fax_number": "941-362-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 RINGLING BLVD STE 207C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375351",
            "telephone_number": "941-362-9972",
            "fax_number": "941-362-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIRD PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SOLE MEMBER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "941-362-9972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.