Nicholas Spencer Benjamin Lackman Baker, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A201790 Issued in CA

Practice address

1900 Ofarrell St Ste 140
San Mateo, CA 94403-1332

Phone

(650) 393-4788

NPI assigned

Mar 29, 2021

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of California, Irvine, California College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bay Psychiatric AssociatesGroup PAC ID 6204723331, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bay Psychiatric Associates

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1427163229
  Medicare reassignment Care Compare group NPD
• Smile Psychiatry and Behavioral

  • Psychiatry Physician
  • Draper, UT
  • NPI 1043970262
  NPD (past)

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1760060115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OFARRELL ST STE 140",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031332",
            "telephone_number": "650-393-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OFARRELL ST STE 140",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031332",
            "telephone_number": "650-393-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKMAN BAKER",
        "first_name": "NICHOLAS",
        "middle_name": "SPENCER BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A201790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Alina Maria Labrador Otheguy
• Ella Sarina Lacanienta
• Stephanie Lacarrubba, LAC RN
• Joshua Areja Lacerna
• Aladin Frani Lacson
• Justin Lacson
• Angelo Philip E Ladeza
• Genaye Marie Ladousier
• Angela M Laffan, NP

• Psychiatry Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.