Active NPI
Martha Ellen Baker, PSY.D.
- Psychologist
- Huntsville, AL
National Provider Identifier
1770655698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 783
- Practice address
- 2317 Market PL SW
Suite E
Huntsville, AL 35801-5262 - Phone
- (256) 539-9990
- Fax
- (256) 539-9990
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 783 | AL | Primary |
Addresses
Primary practice location
2317 Market PL SW
Suite E
Huntsville, AL 35801-5262
Mailing address
2317 Market PL SW
Suite E
Huntsville, AL 35801-5262
Phone (256) 539-9990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-26142 | Other | AL | BLUECROSS BLUESHIELD AL |
| 510-99674 | Other | AL | BCBS - FEP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 16, 2018 through Oct 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770655698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 MARKET PL SW",
"address_2": "SUITE E",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015262",
"telephone_number": "256-539-9990",
"fax_number": "256-539-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 MARKET PL SW",
"address_2": "SUITE E",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015262",
"telephone_number": "256-539-9990",
"fax_number": "256-539-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MARTHA",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD AL",
"identifier": "510-26142",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - FEP",
"identifier": "510-99674",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.