Individual provider Active NPI

Catherine C. Vieira-Baker, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Providence, RI
National Provider Identifier
1881879575
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
7895 Issued in MA
Practice address
321 Hope St
Providence, RI 02906-2209
Phone
(401) 421-1405
NPI assigned
Jan 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS00751 RI
Clinical Psychologist 103TC0700X 0810002712 VA
Clinical Child & Adolescent Psychologist 103TC2200X 7895 MA Primary

Addresses

Primary practice location

321 Hope St
Providence, RI 02906-2209

Mailing address

320 Pleasant St
Seekonk, MA 02771-5315
Phone (508) 328-9881

Other identifiers 1

IdentifierTypeStateIssuer
45102MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS00751RIMDClinical Psychologist
0810002712VAMDClinical Psychologist
7895MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The May Institute, Inc Clinical PastSince Jul 1, 1990 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199145600000",
    "number": "1881879575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PLEASANT ST",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715315",
            "telephone_number": "508-328-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062209",
            "telephone_number": "401-421-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA-BAKER",
        "first_name": "CATHERINE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00751",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002712",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "7895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45102",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.