Jennifer L. Baker, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2004024716 Issued in MO

Practice address

415 E Walnut St
Springfield, MO 65806-2303

Phone

(417) 425-6091

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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.

• Forest Institute of Professional Psychology

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1215015573
  NPD

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1487673182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 W GREENWOOD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075538",
            "telephone_number": "417-425-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062303",
            "telephone_number": "417-425-6091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Walnut St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658062096",
            "country_code": "US",
            "telephone_number": "417-425-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2004024716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497276907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Baker
• Brianna M Baker, PLPC
• Dorothy Chaffee Baker, LCSW
• Gigi E Baker, MD
• Jay P Baker, DO
• Jessica N Baker, MS, LPC
• Joann Baker, SLP
• Karen S Baker, MD
• Lyndsey Baker
• Marilyn Ann Baker, M.A., CCC-SLP

• All providers in Springfield, MO
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; 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.

Verify at the official NPI Registry.