Individual provider Active NPI

Katherine Jean Baum, PH.D.

  • Clinical Neuropsychologist
  • Falmouth, ME
National Provider Identifier
1841370657
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY6303 Issued in FL
Practice address
5 Fundy Rd
Falmouth, ME 04105-1774
Phone
(207) 808-8059
Fax
(207) 808-8069
NPI assigned
Oct 16, 2006
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS2547 ME
Clinical Neuropsychologist 103G00000X PY6303 FL Primary

Addresses

Primary practice location

5 Fundy Rd
Falmouth, ME 04105-1774

Mailing address

5 Fundy Rd
Falmouth, ME 04105-1774
Phone (207) 808-8059

Other identifiers 1

IdentifierTypeStateIssuer
1011377MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127003866 ME Practitioner - Clinical Psychologist 7810934411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 Foreside CMN
Falmouth, ME 04105-2318

5 Fundy Rd
Falmouth, ME 04105-1774
Phone (207) 808-8059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS2547MEMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Baum Neuropsychology, PLLC Clinical Neuropsychologist CurrentSince Dec 30, 2025 Accepting new patients

Locations

5 Fundy Rd
Falmouth, ME 04105
Phone (207) 781-8358

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1841370657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051774",
            "telephone_number": "207-808-8059",
            "fax_number": "207-808-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051774",
            "telephone_number": "207-808-8059",
            "fax_number": "207-808-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "KATHERINE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ME",
            "license": "PS2547",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011377",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.