Individual provider Active NPI

Beth Michelle Baumeister, PH.D.

  • Clinical Psychologist
  • Westlake Village, CA
National Provider Identifier
1619256443
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20565 Issued in CA
Practice address
2239 Townsgate Rd
Suite 107
Westlake Village, CA 91361-2405
Phone
(626) 221-6187
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 20565 CA
Clinical Psychologist 103TC0700X 20565 CA Primary

Addresses

Primary practice location

2239 Townsgate Rd
Suite 107
Westlake Village, CA 91361-2405

Mailing address

545 Island Rd
Ramsey, NJ 07446-2813
Phone (626) 221-6187

Other practice location 1

545 Island Rd
Ramsey, NJ 07446-2813
Phone (201) 995-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20565CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1619256443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ISLAND RD",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462813",
            "telephone_number": "626-221-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 TOWNSGATE RD",
            "address_2": "SUITE 107",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612405",
            "telephone_number": "626-221-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Island Rd",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074462813",
            "country_code": "US",
            "telephone_number": "201-995-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMEISTER",
        "first_name": "BETH",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "20565",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.