Organization Active NPI

Baum Psychiatric, PLLC

  • Child & Adolescent Psychiatry Physician
  • Hillsborough, NC
National Provider Identifier
1922261189
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
BAUM PSYCHIATRIC, PLLC
Practice address
241 Saint Marys Rd
Hillsborough, NC 27278-2521
Phone
(919) 732-2897
Fax
(919) 241-3135
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Stephan Fredrick Baum, M.D.
Title
Owner/Physician
Phone
(919) 732-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

241 Saint Marys Rd
Hillsborough, NC 27278-2521

Mailing address

602 Orchard PL
Hillsborough, NC 27278-8495
Phone (919) 732-2897

Other identifiers 2

IdentifierTypeStateIssuer
891205NMedicaidNC
1205NOtherNCBCBS OF NC

National Provider Directory

National Provider Directory

Locations

241 St Marys Rd
Hillsborough, NC 27278
Phone (919) 225-5921

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1922261189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ORCHARD PL",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788495",
            "telephone_number": "919-732-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SAINT MARYS RD",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782521",
            "telephone_number": "919-732-2897",
            "fax_number": "919-241-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUM PSYCHIATRIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "919-732-2897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891205N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1205N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.