Elizabeth Louise Baker, PHD
Individual provider Active NPI Clinical Psychologist · Orem, UT
NPI 1831490598 · NPPES record last updated Nov 11, 2010
Key facts
- NPI
- 1831490598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 7789577-2501 (UT)
- Practice address
- 412 W 800 N
Orem, UT 84057-3728 - Phone
- (801) 225-6246
- Fax
- (801) 225-1525
- NPI assigned
- Nov 11, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101227000855 | UT | Practitioner - Clinical Psychologist | 4789872227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Riverwoods Urgent Care Center LC | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
412 W 800 N
Orem, UT 84057
Phone (801) 235-7246
560 W 800 N
Orem, UT 84057
Phone (801) 701-6504
280 River Park Dr
Ste 120
Provo, UT 84604
Phone (601) 229-2011
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
Interoperability endpoints
- https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7789577-2501 | UT | Yes |
Addresses
Primary practice location
412 W 800 N
Orem, UT 84057-3728
Mailing address
283 E 930 S
Orem, UT 84058-5001
Phone (801) 225-6246
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.