Individual provider Active NPI

Arisa Wongjodsri Baker, PSY.D, LEP, BCBA

  • School Psychologist
  • Redding, CA
National Provider Identifier
1669035010
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
3557 Issued in CA
Practice address
1744 Trumpet Dr
Redding, CA 96003-6807
Phone
(626) 940-8143
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-15-19317
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 3557 CA Primary

Addresses

Primary practice location

1744 Trumpet Dr
Redding, CA 96003-6807

Mailing address

1744 Trumpet Dr
Redding, CA 96003-6807
Phone (626) 940-8143

Other names 1

  • Arisa Wongjodsri Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3557CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669035010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 TRUMPET DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960036807",
            "telephone_number": "626-940-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 TRUMPET DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960036807",
            "telephone_number": "626-940-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ARISA",
        "middle_name": "WONGJODSRI",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LEP, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-19317",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "3557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARISA",
            "last_name": "WONGJODSRI",
            "credential": "PSY.D, LEP, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.