Active NPI
Patricia Bauer, PHD
- Psychologist
- La Mesa, CA
National Provider Identifier
1407010663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY8095
- Practice address
- 4700 Spring St 204
La Mesa, CA 91942-0273 - Phone
- (619) 922-2379
- Fax
- (619) 722-6469
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY8095 | CA | Primary |
Addresses
Primary practice location
4700 Spring St 204
La Mesa, CA 91942-0273
Mailing address
2811 Via Asoleado
Alpine, CA 91901-3173
Phone (619) 922-2379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8095 | CA | MD | Psychologist |
| 8095 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1407010663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 VIA ASOLEADO",
"city": "ALPINE",
"state": "CA",
"postal_code": "919013173",
"telephone_number": "619-922-2379",
"fax_number": "619-722-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SPRING ST 204",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420273",
"telephone_number": "619-922-2379",
"fax_number": "619-722-6469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "PATRICIA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY8095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.