Individual provider Active NPI

Cristiana Aragao Baptista, PHD

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1740465905
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27833 Issued in CA
Practice address
2728 Durant Ave
C/O the Wright Institute
Berkeley, CA 94704-1725
Phone
(510) 841-9230
NPI assigned
Jan 7, 2008
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27833 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2728 Durant Ave
C/O the Wright Institute
Berkeley, CA 94704-1725

Mailing address

1528 Oxford St Apt 1
Berkeley, CA 94709-1543
Phone (510) 207-4069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501001568 CA Practitioner - Clinical Psychologist 1850633462 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

811 S Bedford St
Apt 205
Los Angeles, CA 90035-1822
Phone (510) 207-4069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27833CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Institute Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1740465905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 OXFORD ST APT 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091543",
            "telephone_number": "510-207-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 DURANT AVE",
            "address_2": "C/O THE WRIGHT INSTITUTE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041725",
            "telephone_number": "510-841-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTISTA",
        "first_name": "CRISTIANA",
        "middle_name": "ARAGAO",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27833",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.