Organization Active NPI

Baker Mental Health Consulting, LLC

  • Psychologist
  • Worcester, MA
National Provider Identifier
1548693757
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9912 Issued in MA
Legal business name
BAKER MENTAL HEALTH CONSULTING, LLC
Practice address
51 Union St Ste 214
Worcester, MA 01608-1147
Phone
(508) 769-7812
NPI assigned
Aug 12, 2013
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Dr. Stacey Baker, PSY.D., LMHC
Title
Executive Director
Phone
(508) 769-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9912 MA Primary

Addresses

Primary practice location

51 Union St Ste 214
Worcester, MA 01608-1147

Mailing address

51 Union St Ste 214
Worcester, MA 01608-1147
Phone (508) 769-7812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507000028 MA Part B Supplier - Clinic/Group Practice 0244559649 Receives reassigned benefits from 1 practitioner
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

51 Union St
Ste 116
Worcester, MA 01608
Phone (508) 317-2323

51 Union St
Ste 214
Worcester, MA 01608
Phone (508) 769-7812

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1548693757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 UNION ST STE 214",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081147",
            "telephone_number": "508-769-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UNION ST STE 214",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081147",
            "telephone_number": "508-769-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER MENTAL HEALTH CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-769-7812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMHC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.