M. R. Baker, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS002668 Issued in PA

Legal business name

M. R. BAKER, PC

Practice address

431 Penn Valley Rd
Penn Valley, PA 19072-1623

Phone

(610) 667-4896

Fax

(610) 771-0871

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Minna Rae Baker, PH.D.

Title

Owner

Phone

(610) 667-4896

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1588700470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PENN VALLEY RD",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721623",
            "telephone_number": "610-667-4896",
            "fax_number": "610-771-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PENN VALLEY RD",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721623",
            "telephone_number": "610-667-4896",
            "fax_number": "610-771-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. R. BAKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MINNA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-667-4896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Penn Valley, PA
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• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.