Individual provider Active NPI

Laurie Baldwin, PH.D.

  • Clinical Psychologist
  • Bellaire, TX
National Provider Identifier
1598876062
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-5249 Issued in TX
Practice address
6300 West Loop S
Suite 390
Bellaire, TX 77401-2900
Phone
(713) 349-0504
Fax
(713) 661-0621
NPI assigned
Aug 31, 2006
Last updated
Aug 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2-5249 TX Primary

Addresses

Primary practice location

6300 West Loop S
Suite 390
Bellaire, TX 77401-2900

Mailing address

6300 West Loop S
Suite 390
Bellaire, TX 77401-2900
Phone (713) 349-0504

Other identifiers 3

IdentifierTypeStateIssuer
1161192-02MedicaidTX
319392OtherTXAPS/IRG
254583OtherTXVALUE OPTIONS

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040804000653 TX Practitioner - Clinical Psychologist 8628049533 Practice locations: Bellaire, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6300 W Loop S
Suite 680
Bellaire, TX 77401-2915
Phone (281) 507-9252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-5249TXMDClinical Psychologist
25249TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Su, Psy.D., PLLC PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1598876062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S",
            "address_2": "SUITE 390",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012900",
            "telephone_number": "713-349-0504",
            "fax_number": "713-661-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S",
            "address_2": "SUITE 390",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012900",
            "telephone_number": "713-349-0504",
            "fax_number": "713-661-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-5249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1161192-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS/IRG",
            "identifier": "319392",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "254583",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.