Mark Baker, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 9219 Issued in CA

Practice address

650 Sierra Madre Villa
La Vie Psychology Group, Suite 110
Pasadena, CA 91107

Phone

(626) 351-9616

Fax

(626) 351-9493

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By 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

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• La Vie Psychology Group, Inc.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1174775134
  Medicare reassignment NPD Authorized official
• La Vie Center

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1871528984
  Authorized official Same address or phone
• La Vie Psychology, Inc.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1801821830
  NPD (past) Authorized official
• Mark Baker, PHD

  • Counseling Psychologist
  • Pasadena, CA
  • NPI 1134305733
  NPD (past) Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1528239506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SIERRA MADRE VILLA",
            "address_2": "LA VIE PSYCHOLOGY GROUP, SUITE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-351-9616",
            "fax_number": "626-351-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SIERRA MADRE VILLA",
            "address_2": "LA VIE PSYCHOLOGY GROUP, SUITE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-351-9616",
            "fax_number": "626-351-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARK",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 9219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisa Malika Baker
• Carissa Baker
• Gina Baker
• Kendra Baker
• Kimberly Baker
• Megan Baker
• Yekaterina A Bakhta, MD
• Alen Bakhtamian, DMD
• Mandana Bakhtiari
• Kavenpreet Singh Bal

• Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.

Verify at the official NPI Registry.