SUSAN BAKER


Address: 39 Stanley Ave, Medford, MA 02155-5617
Phone: 7813951281

SUSAN BAKER (NPI# 1225521792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225521792
Entity Type Individual
Full Name SUSAN BAKER
Credential PSY.D
Practice Address 39 Stanley Ave
Medford
MA 02155-5617
Practice Telephone 7813951281
Mailing Telephone 7813951281
Enumeration Date 2018-06-11
Last Update Date 2018-06-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 4513-PY-PR MA Behavioral Health & Social Service Providers

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1215231295 Susan Suddreth Baker Pharmacist 1320 W D St Ste 6, North Wilkesboro, NC 28659-3560 2011-01-05
1699077081 Susan M Baker Physical Therapist 7407 Forests Edge Ct, Laurel, MD 20707-9428 2010-11-17
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Office Location

Street Address 39 STANLEY AVE
City MEDFORD
State MA
Zip Code 02155-5617

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
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1487138509 Dava Davainis Social Worker 76 Newbern Avenue, Apt. 1, Medford, MA 02155 2018-09-25
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1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
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1144713090 Laura Rogers Psychologist 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 2018-06-14
1871086694 Shuo Yang Dentist 8 9th St Apt 310, Medford, MA 02155 2018-06-07
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1568953529 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 471 Salem St, Medford, MA 02155 2018-05-25
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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1093235459 Clarity Behavioral Medicine LLC Psychologist 10 Crater Lake Ave Ste 18, Medford, OR 97504-7445 2017-06-26
1447485552 Lani C. Fujitsubo Psychologist 229 Eric Ct, Medford, OR 97504-9053 2009-05-18
1598945149 Harry Michael Shallcross Psychologist 41 Tee Pee Ct, Medford, NJ 08055-9763 2007-11-13
1831308642 Ritu Sharma Psychologist 120 Curtis St, Tufts University Cmhs, Medford, MA 02155-5819 2007-05-21
1821118605 Robin Seeley Psychologist 815 E Jackson St, Medford, OR 97504-6713 2007-03-29
1427178227 Hutter & Seeley Psychological Services, P.C. Psychologist 711 Medford Center, #168, Medford, OR 97504 2007-03-29
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Competitor

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City MEDFORD
Zip Code 02155

Improve Information

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Dataset Information

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.

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