Active NPI
Carmen Baldus, ED.D.
- Psychologist
- Newaygo, MI
National Provider Identifier
1447403241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301011963
- Practice address
- 7769 S River Ridge Rd
Newaygo, MI 49337-9673 - Phone
- (231) 652-7200
- Fax
- (231) 652-7201
- NPI assigned
- Oct 24, 2008
- Last updated
- Apr 18, 2019
- 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 | 6301011963 | MI | Primary |
Addresses
Primary practice location
7769 S River Ridge Rd
Newaygo, MI 49337-9673
Mailing address
7760 S River Ridge Rd
Newaygo, MI 49337-9673
Phone (231) 373-7969
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011963 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Creation Psychological Servies | Psychologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Bailey, MI
- NPI 1215067608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1447403241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 S RIVER RIDGE RD",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493379673",
"telephone_number": "231-373-7969",
"fax_number": "231-652-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7769 S RIVER RIDGE RD",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493379673",
"telephone_number": "231-652-7200",
"fax_number": "231-652-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDUS",
"first_name": "CARMEN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301011963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newaygo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.