Gordon Baker, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1717 Issued in CT

Practice address

1855 Albany Ave
West Hartford, CT 06117-1702

Phone

(860) 881-1948

NPI assigned

Mar 6, 2015

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

Master of Arts

State licenses

Practice roles

Locations

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.

• Oaks and Streams

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Hartford, CT
  • NPI 1467242552
  NPD Authorized official

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1851784433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 RHODES ST APT 2",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512420",
            "telephone_number": "860-881-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171702",
            "telephone_number": "860-881-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E Bachman, MSW
• Valencia L Bagby-Young, EDD PSYCHOLOGY
• Marilyn A Bagley
• Debra S. Bailey, PH.D.
• Donna Rosanne Baker-Gilroy, LPC
• Laura Porter Baker, MSW LCSW
• Balance CBT of New England, LLC
• Balance Therapy Group PLLC
• Robert Alexander Balla, DMD
• Jacqueline Banasiewicz, LPC

• All providers in West Hartford, CT
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.