Jed E Baker, PHD
Individual provider Active NPI Psychologist · Springfield, NJ
NPI 1962742932 · NPPES record last updated Feb 27, 2013
Key facts
- NPI
- 1962742932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 35SI00331400 (NJ)
- Practice address
- 28 Millburn Ave, Suite 7
Springfield, NJ 07081 - Phone
- (973) 313-1803
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28 Millburn Ave
Suite 7
Springfield, NJ 07081-1023
Phone (973) 313-1803
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170914000455 | NJ | Practitioner - Clinical Psychologist | 7214201201 | Practice locations: Springfield, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00331400 | NJ | Yes |
Addresses
Primary practice location
28 Millburn Ave, Suite 7
Springfield, NJ 07081
Mailing address
29 Collinwood Rd
Maplewood, NJ 07040-1035
Phone (973) 313-1803
Other providers in Springfield, NJ
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- Hae Sun Back
- Ephigene Banzuelo
- Barbara Marie Baratta
- Barker Psychiatric Services LLC
- Jonathan Joseph Barker
- Alexis Begliomini
All providers in Springfield, NJ · Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.