Deborah Ann Baker, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002653 Issued in GA

Practice address

559 Vincent Street
Space Base Delta 1
Peterson Space Force Base, CO 80914

Phone

(719) 556-9858

NPI assigned

Aug 24, 2005

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Ona Graham, PC

  dba Ona Graham, PSYD

  • Cognitive & Behavioral Psychologist
  • Columbus, GA
  • NPI 1790959641
  NPD (past)
• Dr. Ona Graham, PC

  dba Ona Graham Psy D, PC

  • Clinical Neuropsychologist
  • Columbus, GA
  • NPI 1952583106
  NPD (past)
• Georgia Department of Human Resources

  dba West Central Georgia Regional Hospital

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1144224767
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1710970751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SPLENDOR VIEW DR",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167660",
            "telephone_number": "706-593-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT STREET",
            "address_2": "SPACE BASE DELTA 1",
            "city": "PETERSON SPACE FORCE BASE",
            "state": "CO",
            "postal_code": "80914",
            "telephone_number": "719-556-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 7th St",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-327-8487",
            "fax_number": "478-327-8313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652122227",
            "country_code": "US",
            "telephone_number": "573-814-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4430 Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Leonard Wood",
            "state": "MO",
            "postal_code": "654739098",
            "country_code": "US",
            "telephone_number": "573-596-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Bothwell, LICSW
• Avery John Carney, PA-C, OT/L
• Joseph Dehope, DPT
• Samantha Laurelin Fil, NP
• Heather Smith Harvey, PT PHYSICAL THERAPIS

• Clinical Psychologist in Peterson Space Force Base, CO
• Providers in Peterson Space Force Base, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.