Earl H. Baker, PH.D

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MP.000577 Issued in LA

Practice address

1502 Stubbs Ave
Monroe, LA 71201-5628

Phone

(318) 323-8700

Fax

(318) 323-8757

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1710014873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015628",
            "telephone_number": "318-323-8700",
            "fax_number": "318-323-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015628",
            "telephone_number": "318-323-8700",
            "fax_number": "318-323-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "EARL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "MP577",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.000577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS 23 DHH",
            "identifier": "33207",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myron B Bailey Jr., M.D.
• Sidney L Bailey, M.D.
• Bailey'S Wellness and Mental Health Services, LLC
• Terrance E Baines
• Brandon T. Baker
• Jimmica Baker
• Rhett Warren Baker, M.D.
• Deborah Johnson Balch, LOTR
• Kendra Baldridge, BCBA
• Beverly A Baldwin, RN

• Prescribing (Medical) Psychologist in Monroe, LA
• Providers in Monroe, LA by specialty
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.