Dustin Forrest Baker, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2018043003 Issued in MO

Practice address

2130 Grand Ave Ste B
Des Moines, IA 50312-5384

Phone

(515) 270-0280

Fax

(515) 270-1647

NPI assigned

Jun 22, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Innovative Learning Professionals LC

  • Psychologist
  • West Des Moines, IA
  • NPI 1881751766
  NPD (past)

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1770144669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 GRAND AVE STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125384",
            "telephone_number": "515-270-0280",
            "fax_number": "515-270-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 GRAND AVE STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125384",
            "telephone_number": "515-270-0280",
            "fax_number": "515-270-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DUSTIN",
        "middle_name": "FORREST",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2018043003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adela Bajric, PA-C
• Angela Renee Bakalar, RN
• Aneda Lynn Baker, AU.D.
• Aree Baker, RN
• Darian Renee Baker, LMSW
• Gerald G Baker, M.D.
• Haven R Baker
• Katie Baker, LISW
• Kevin Paul Baker, D.D.S.
• Larry J Baker, D.O.

• Counseling Psychologist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Counseling Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.