Individual provider Active NPI

Anne Davison Baden, PHD

  • Psychologist
  • Wake Forest, NC
National Provider Identifier
1932210119
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2739 Issued in NC
Practice address
2001 S Main St
Suite 200
Wake Forest, NC 27587-1649
Phone
(919) 810-8028
Fax
(919) 562-7401
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2739 NC Primary

Addresses

Primary practice location

2001 S Main St
Suite 200
Wake Forest, NC 27587-1649

Mailing address

10101 Touchwood PL
Raleigh, NC 27613-6114
Phone (919) 810-8028

Other identifiers 1

IdentifierTypeStateIssuer
6000740MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000649 NC Practitioner - Clinical Psychologist 8426070004 Practice locations: Raleigh, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Vanderbilt University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 W Millbrook Rd
Raleigh, NC 27609-4304
Phone (919) 810-8028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0711KYMDMarriage & Family Therapist
2739NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1932210119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 TOUCHWOOD PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136114",
            "telephone_number": "919-810-8028",
            "fax_number": "919-562-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871649",
            "telephone_number": "919-810-8028",
            "fax_number": "919-562-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEN",
        "first_name": "ANNE",
        "middle_name": "DAVISON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000740",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.