Christine L Tyrrell-Baker, PSYSHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014483 Issued in NY

Practice address

220 Herald Place
4TH Floor
Syracuse, NY 13202-5002

Phone

(315) 472-7363

Fax

(315) 701-2368

NPI assigned

Oct 20, 2011

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Onondaga Case Management Services Inc.

  • Case Management Agency
  • Syracuse, NY
  • NPI 1235184235

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1750666830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HERALD PLACE",
            "address_2": "4TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132025002",
            "telephone_number": "315-472-7363",
            "fax_number": "315-701-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HERALD PLACE",
            "address_2": "4TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132025002",
            "telephone_number": "315-472-7363",
            "fax_number": "315-701-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRRELL-BAKER",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "PSYSHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1235184235",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICARE",
            "identifier": "BA1047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICAID",
            "identifier": "02994838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Denise Tyler
• David B Tyler, MD
• Casey Mitchell Tymko, DO
• Gary Tyndall, MD
• Sean Fitzgerald Tyndall
• Robert John Tyson III, LPN
• Spiro Tzetzis, MD
• Ruba Uddin, M.D.
• Shuja Uddin, M.D.
• Dayna Ukwuoma, MD

• Psychologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.