JACQUELYN H BAKER (NPI# 1003879289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003879289 |
| Entity Type | Individual |
| Full Name | JACQUELYN H BAKER |
| Credential | MA, LP, LMFT |
| Practice Address |
2855 Campus Dr Suite 400 Plymouth MN 55441-2649 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 6125777400 |
| Practice Fax Number | 6125777440 |
| Mailing Telephone | 6122624813 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 0983 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 131 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144713728 | Jacquelyn Rose Baker | Registered Nurse | 240 Medical Park Blvd Ste 3700, Bristol, TN 37620-7350 | 2018-06-08 |
| 1053523829 | Jacquelyn Shanea Baker | Home Health Aide | 3884 W.37th Street, Cleveland, OH 44109 | 2007-05-04 |
| 1598399610 | Jacquelyn Elaine Baker | Social Worker | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2020-02-27 |
| 1215452990 | Jacquelyn Baker | Counselor | 340 Morris Ave S, Renton, WA 98057-2521 | 2017-08-03 |
| 1295258606 | Jacquelyn Baker | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2017-07-18 |
| 1831470889 | Jacquelyn Leigh Baker | Speech-Language Pathologist | 1441 Old Northern Blvd, Roslyn, NY 11576-2146 | 2011-09-05 |
| Street Address |
2855 CAMPUS DR SUITE 400 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171820 | Terry W. Hood | Neurological Surgery | 2855 Campus Dr, Ste 570, Plymouth, MN 55441-2660 | 2005-06-01 |
| 1891309092 | Bridget Pauline Williams | Pharmacist | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2020-09-04 |
| 1093277238 | Megan Hickenbottom | Social Worker | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2019-04-05 |
| 1831670470 | Stephanie Michelle Walek | Pharmacist | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2018-08-22 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1457741092 | Narges Golgol | Physician Assistant | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2015-02-04 |
| 1295131357 | Eva Gabriela Martinez | Physical Therapist | 2855 Campus Dr, Suite 650, Plymouth, MN 55441-2649 | 2014-11-17 |
| 1336495068 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2012-07-31 |
| 1477828515 | Vedavathi Ramesh Bellamkonda-athmaram | Pediatrics | 2855 Campus Dr, #350, Plymouth, MN 55441-2649 | 2012-03-21 |
| 1568739043 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2011-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861031056 | Candi Lyn Rosenberg | Psychologist | 595 Forest Ave Ste 7and11a, Plymouth, MI 48170-1775 | 2020-01-05 |
| 1255829081 | Joseph Matthew Mitchell | Psychologist | 44450 Pinetree Dr Ste 101, Plymouth, MI 48170-3869 | 2018-04-26 |
| 1164808390 | Wisconsin Lutheran Child &famliy Service, Inc | Psychologist | 3350 Harbor Ln N, Plymouth, MN 55447-5255 | 2015-08-11 |
| 1972982106 | Inspired By Me Psychological Wellness | Psychologist | 9341 N Haggerty Rd, Plymouth, MI 48170-4622 | 2015-05-20 |
| 1336564970 | Celena N Khatib | Psychologist | 340 N Main St Ste 210, Plymouth, MI 48170-1250 | 2014-02-19 |
| 1851673537 | Juvaria Javaid | Psychologist | 51248 Plymouth Ridge Dr, Plymouth, MI 48170-6366 | 2011-09-19 |
| 1770862781 | Ionela Herman | Psychologist | 41550 E Ann Arbor Trl, Plymouth, MI 48170-4308 | 2011-08-08 |
| 1548404270 | Jocelyn A Markowicz | Psychologist | 843 Penniman Ave, Plymouth, MI 48170-1757 | 2009-04-24 |
| 1063631695 | Gail Ann Thoen | Psychologist | 12525 42 Avenue North, Plymouth, MN 55441-1265 | 2007-04-24 |
| 1508984048 | Anne Marie Caldwell | Psychologist | 409 Plymouth Rd Ste 270, Plymouth, MI 48170-1842 | 2007-03-26 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on JACQUELYN H BAKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.