Organization Active NPI

Christine a Baser R N PH D a Professional Psychology Corp

  • Clinical Psychologist
  • Carlsbad, CA
National Provider Identifier
1851638506
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9695 Issued in CA
Legal business name
CHRISTINE A BASER R N PH D A PROFESSIONAL PSYCHOLOGY CORP
Practice address
2011 Palomar Airport Rd
Suite 205
Carlsbad, CA 92011-1430
Phone
(760) 431-2694
Fax
(760) 431-2695
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Dr. Christine A Baser, PHDNPI 1285623546
Title
Owner
Phone
(760) 431-2695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY9695 CA Primary

Addresses

Primary practice location

2011 Palomar Airport Rd
Suite 205
Carlsbad, CA 92011-1430

Mailing address

7207 Wisteria Way
Carlsbad, CA 92011-4844
Phone (760) 431-2695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130122000342 CA Part B Supplier - Clinic/Group Practice 0345493524 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1851638506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 WISTERIA WAY",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114844",
            "telephone_number": "760-431-2695",
            "fax_number": "760-431-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 PALOMAR AIRPORT RD",
            "address_2": "SUITE 205",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111430",
            "telephone_number": "760-431-2694",
            "fax_number": "760-431-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE A BASER R N PH D A PROFESSIONAL PSYCHOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "BASER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-431-2695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.