Active NPI
Rachel Fenning Baker, PH.D.
- Clinical Psychologist
- Santa Ana, CA
National Provider Identifier
1962529776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 25963
- Practice address
- 2500 Red Hill Ave
Suite 100
Santa Ana, CA 92705-5518 - Phone
- (949) 267-0400
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 25963 | CA | Primary |
Addresses
Primary practice location
2500 Red Hill Ave
Suite 100
Santa Ana, CA 92705-5518
Mailing address
800 N State College Blvd
Ec 572
Fullerton, CA 92831-3547
Phone (657) 278-7802
Other names 1
- Dr. Rachel May Fenning
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25963 | CA | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1962529776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N STATE COLLEGE BLVD",
"address_2": "EC 572",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313547",
"telephone_number": "657-278-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 RED HILL AVE",
"address_2": "SUITE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055518",
"telephone_number": "949-267-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "RACHEL",
"middle_name": "FENNING",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "25963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "FENNING",
"middle_name": "MAY",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.