Christopher Alan Baker, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

103163 Issued in NC

Practice address

1695 Kernersville Medical Pkwy
Reynolda Gardens Room 2343
Kernersville, NC 27284-7159

Phone

(336) 515-5000

NPI assigned

Jun 30, 2016

Last updated

Jun 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1518318591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 6TH ST",
            "address_2": "UNIT 209B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012982",
            "telephone_number": "434-942-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 KERNERSVILLE MEDICAL PKWY",
            "address_2": "REYNOLDA GARDENS ROOM 2343",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847159",
            "telephone_number": "336-515-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "103163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eirian Avila
• Biju Neervila Babu, MD
• Anne-Marie Bachman, LMBT 7950
• Lawrence Allen Bacon, LCMHC
• Kimberly Lynn Baggerly, NP-C
• Danisha Baldwin
• Shatera Baldwin
• Deborah F Ball
• Rebecca Ann Ball, MD
• William Ball

• Clinical Psychologist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.