Active NPI
Kim Phillips Baron, PHD
- Psychologist
- Glen Mills, PA
National Provider Identifier
1689900060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1204 Holly LN
Glen Mills, PA 19342-9620 - Phone
- (610) 892-3800
- Fax
- (484) 468-1412
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1204 Holly LN
Glen Mills, PA 19342-9620
Mailing address
1204 Holly LN
Glen Mills, PA 19342-9620
Phone (610) 892-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1689900060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 HOLLY LN",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193429620",
"telephone_number": "610-892-3800",
"fax_number": "484-468-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 HOLLY LN",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193429620",
"telephone_number": "610-892-3800",
"fax_number": "484-468-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON",
"first_name": "KIM",
"middle_name": "PHILLIPS",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.