Thomas G. Baker, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS003744L Issued in PA

Practice address

2201 Ridgewood Road
Suite 400
Wyomissing, PA 19610-6977

Phone

(610) 378-9601

Fax

(610) 378-3610

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• DGR Management Inc.

  • Specialist
  • Wyomissing, PA
  • NPI 1194893305
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1881787943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD ROAD",
            "address_2": "SUITE 400",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196106977",
            "telephone_number": "610-378-9601",
            "fax_number": "610-378-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD ROAD",
            "address_2": "SUITE 400",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196106977",
            "telephone_number": "610-378-9601",
            "fax_number": "610-378-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS003744L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003744L",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS003744L",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Auman, COTA/L
• J Marc Aynardi, M.D.
• Alyssa Babecki
• Lee Ellen Bach, BSL
• Madeline Snow Bainbridge
• Jason Elmer Balthaser, D.C.
• Michael B Balthaser, D.M.D.
• Sarah Balthaser, DC
• Stephen Patrick Banco, MD
• Argentina Bancos, LCSW

• Clinical Psychologist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.