Organization Active NPI

Baum Psychology PC

  • Clinical Psychologist
  • Vista, CA
National Provider Identifier
1720801582
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BAUM PSYCHOLOGY PC
Practice address
1611 S Melrose Dr Ste A162
Vista, CA 92081-5407
Phone
(319) 359-7103
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Remi Greenbaum
Title
Officer
Phone
(319) 359-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1611 S Melrose Dr Ste A162
Vista, CA 92081-5407

Mailing address

1611 S Melrose Dr Ste A162
Vista, CA 92081-5407

National Provider Directory

National Provider Directory

Locations

1611 S Melrose Dr
Ste A162
Vista, CA 92081
Phone (319) 359-7103

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1720801582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S MELROSE DR STE A162",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S MELROSE DR STE A162",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815407",
            "telephone_number": "319-359-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUM PSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "REMI",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "319-359-7103"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.