1689726861 NPI number — MRS. KATHLEEN MARIE BAKER MED, CAGS, LMHC

Table of content: MRS. KATHLEEN MARIE BAKER MED, CAGS, LMHC (NPI 1689726861)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689726861 NPI number — MRS. KATHLEEN MARIE BAKER MED, CAGS, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAKER
Provider First Name:
KATHLEEN
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MED, CAGS, LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BAKER
Provider Other First Name:
KATE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MED, CAGS, LMHC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1689726861
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2444 E MAIN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTSMOUTH
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02871-4025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-683-7460
Provider Business Mailing Address Fax Number:
401-683-6212

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2444 E MAIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTSMOUTH
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02871-4025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-683-7460
Provider Business Practice Location Address Fax Number:
401-683-6212
Provider Enumeration Date:
01/17/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)