Active NPI
Susan Christine Baird, PH.D.
- Clinical Psychologist
- Kalamazoo, MI
National Provider Identifier
1497899801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012476
- Practice address
- 2632 S 11TH St
Kalamazoo, MI 49009-2106 - Phone
- (269) 873-8002
- NPI assigned
- Feb 18, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012476 | MI | Primary |
Addresses
Primary practice location
2632 S 11TH St
Kalamazoo, MI 49009-2106
Mailing address
2632 S 11TH St
Kalamazoo, MI 49009-2106
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11608898 | Other | MI | CAQH PROVIDER ID |
| 6301012476 | Other | MI | PROFESSIONAL LICENSE NUMB |
| 68-0-C9-1310-0 | Other | MI | BCBSM PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2632 S 11TH St
Kalamazoo, MI 49009-2106
Phone (269) 873-8002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012476 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valued Living Psychological | Clinical | Current | Accepting new patients |
| Mid-America Psychological Services, P. C. | Past | Accepting new patients |
Locations
5380 Holiday Ter
Ste 33
Kalamazoo, MI 49009
Phone (269) 207-0272
2632 S 11th St
Kalamazoo, MI 49009
Phone (269) 873-8002
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Kalamazoo, MI
- NPI 1568858413
-
- Clinical Social Worker
- Portage, MI
- NPI 1376682641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1497899801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2632 S 11TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 S 11TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092106",
"telephone_number": "269-873-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRD",
"first_name": "SUSAN",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-18",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "11608898",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE NUMB",
"identifier": "6301012476",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN",
"identifier": "68-0-C9-1310-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.