Individual provider Active NPI

Laura Baird, PSYD

  • Clinical Psychologist
  • Middletown, CT
National Provider Identifier
1679715023
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002516 Issued in CT
Practice address
103 S Main St
Center of Behavioral Health
Middletown, CT 06457-3651
Phone
(860) 358-8760
NPI assigned
Apr 1, 2009
Last updated
Apr 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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 002516 CT Primary

Addresses

Primary practice location

103 S Main St
Center of Behavioral Health
Middletown, CT 06457-3651

Mailing address

103 S Main St
Center of Behavioral Health
Middletown, CT 06457-3651
Phone (860) 358-8760

Other identifiers 1

IdentifierTypeStateIssuer
002516OtherCTCT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090615000101 CT Practitioner - Clinical Psychologist 4486704400 Practice locations: Wethersfield, CT

Care Compare profile

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

Practice addresses (Care Compare)

50 Sawmill Xing
Wethersfield, CT 06109-1333
Phone (860) 231-2208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002516CTMDClinical Psychologist
2516CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Baird PSYD., LLC Clinical CurrentSince Jul 27, 2017 Accepting new patients
Bridget Davey, LCSW LLC Past Accepting new patients

Locations

267 William St
Middletown, CT 06457
Phone (860) 231-2208

769 Newfield St
Ste 6B
Middletown, CT 06457
Phone (203) 430-8290

682 Prospect Ave
West Hartford, CT 06105
Phone (860) 206-7904

Organizations & group practices 2

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1679715023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "address_2": "CENTER OF BEHAVIORAL HEALTH",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573651",
            "telephone_number": "860-358-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "address_2": "CENTER OF BEHAVIORAL HEALTH",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573651",
            "telephone_number": "860-358-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "LAURA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "002516",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.