Baobab Psychology LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BAOBAB PSYCHOLOGY LLC

Practice address

3906 S 74TH St Ste 201
Tacoma, WA 98409-1005

Phone

(360) 207-3439

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kelly M Price, PSYDNPI 1053902320

Title

Owner / Psychologist

Phone

(360) 207-3439

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Price

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1053902320
  NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1699546390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 S 74TH ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984091005",
            "telephone_number": "360-207-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 S 74TH ST STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984091005",
            "telephone_number": "360-207-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAOBAB PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-207-3439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Irene Banks, PT
• Michael Bankston
• Bansuk Ju DDS PLLC
• Shnya Maria Banton-Brown
• Theresa Gwen Banzet
• Althea Maryann Baptiste-Owusu, RN
• Kelli Anne Barabba, LMP
• Annia C Barajas Gonzalez
• Thomas Barale, P.A.
• Echo Jade Cachola Baraquio

• Community/Behavioral Health Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.