Active NPI
Nicole G Baarck, MD
- Forensic Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 323479
- Practice address
- 102 Rivers Edge Rd
New York, NY 10035-1163 - Phone
- (973) 668-9589
- NPI assigned
- Apr 5, 2019
- Last updated
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 323479 | NY | Primary |
Addresses
Primary practice location
102 Rivers Edge Rd
New York, NY 10035-1163
Mailing address
109 N 12TH St Ste 705
Brooklyn, NY 11249-1002
Phone (201) 201-4036
Other practice location 1
109 N 12th St Ste 705
Brooklyn, NY 11249-1002
Phone (201) 201-4036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323479 | NY | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Psychiatry | Current | Accepting new patients |
Locations
200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000
181 Patricia M Genova Dr
Newington, CT 06111
Phone (860) 667-5480
Interoperability endpoints
- nicole.baarck@xdr.hhchealthdirect.org
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": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1770045916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N 12TH ST STE 705",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112491002",
"telephone_number": "201-201-4036",
"fax_number": "934-884-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 RIVERS EDGE RD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351163",
"telephone_number": "973-668-9589"
}
],
"practiceLocations": [
{
"address_1": "109 N 12th St Ste 705",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112491002",
"country_code": "US",
"telephone_number": "201-201-4036",
"fax_number": "934-884-1680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAARCK",
"first_name": "NICOLE",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-05",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "NY",
"license": "323479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.