Active NPI
Michael J Baird, M.S.
- Psychologist
- West Burlington, IA
National Provider Identifier
1396862579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00482
- Practice address
- 1201 W Agency Rd
West Burlington, IA 52655-1645 - Phone
- (319) 754-4242
- Fax
- (319) 754-4079
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00482 | IA | Primary |
Addresses
Primary practice location
1201 W Agency Rd
West Burlington, IA 52655-1645
Mailing address
1201 W Agency Rd
West Burlington, IA 52655-1645
Phone (319) 754-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107314000 | Other | IA | IOWA PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse in the House, Inc. | Past | Accepting new patients |
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.
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1396862579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W AGENCY RD",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551645",
"telephone_number": "319-754-4242",
"fax_number": "319-754-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W AGENCY RD",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551645",
"telephone_number": "319-754-4242",
"fax_number": "319-754-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRD",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "00482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA PLAN",
"identifier": "107314000",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.