Individual provider Active NPI

Leah Baer, PSY.D.

  • Clinical Psychologist
  • Portland, ME
National Provider Identifier
1467636993
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS1223 Issued in ME
Practice address
491 Stevens Ave
Portland, ME 04103-2636
Phone
(207) 828-4026
Fax
(207) 773-4472
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS1223 ME Primary

Addresses

Primary practice location

491 Stevens Ave
Portland, ME 04103-2636

Mailing address

491 Stevens Ave
Portland, ME 04103-2636
Phone (207) 828-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229000821 ME Practitioner - Clinical Psychologist 7618368648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Community Services CurrentSince Sep 21, 2021 Accepting new patients

Locations

22 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 571-9923

Interoperability endpoints

  • Direct secure messaging: ccn.leahbaer@140126.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1467636993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032636",
            "telephone_number": "207-828-4026",
            "fax_number": "207-773-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032636",
            "telephone_number": "207-828-4026",
            "fax_number": "207-773-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "LEAH",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.