Active NPI
Laurie Baldwin, PH.D.
- Clinical Psychologist
- Bellaire, TX
National Provider Identifier
1598876062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-5249
- 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, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1161192-02 | Medicaid | TX | |
| 319392 | Other | TX | APS/IRG |
| 254583 | Other | TX | VALUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2-5249 | TX | MD | Clinical Psychologist |
| 25249 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Su, Psy.D., PLLC | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.