Derek Jay Baume, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20042084A Issued in IN

Practice address

12337 Hancock St 20
Carmel, IN 46032-5885

Phone

(317) 706-6744

Fax

(317) 706-6700

NPI assigned

Jan 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emerald Neuro-Recover

  • Family Medicine Physician
  • Carmel, IN
  • NPI 1508334814
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448496000000",
    "number": "1669539722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12337 HANCOCK ST 20",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "317-706-6744",
            "fax_number": "317-706-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 HANCOCK ST 20",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "317-706-6744",
            "fax_number": "317-706-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUME",
        "first_name": "DEREK",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2015-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042084A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "IN1231",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201178980A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN1231001",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201163980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Bauer, RN
• Nerissa S. Bauer, MD
• Alexis Baughey, ASN
• Julie Marie Baughman
• Baume Psychological Services, P.C.
• Ann Marie Baumer, R.N
• Marc Alan Baumgardt, BCBA
• Christina Ann Baumgartner, SLP
• Audrey Baute, DO
• Sarah Joanne Baxter, DDS

• Psychologist in Carmel, IN
• Providers in Carmel, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2015; 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.