| Baker Mental Health Consulting, Llc | |
|
51 Union St Ste 214 Worcester MA 01608-1147 | |
| (508) 769-7812 | |
| Not Available |
| Full Name | Baker Mental Health Consulting, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 51 Union St Ste 214, Worcester, Massachusetts |
| Authorized Official Name and Position | Stacey Baker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5087697812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Mental Health Consulting, Llc 51 Union St Ste 214 Worcester MA 01608-1147 Ph: (508) 769-7812 | Baker Mental Health Consulting, Llc 51 Union St Ste 214 Worcester MA 01608-1147 Ph: (508) 769-7812 |
| NPI Number | 1548693757 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 0244559649 |
|---|---|
| Medicare Enrollment ID | O20150507000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548693757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 9912 (Massachusetts) | Primary |
| Provider Name | Stacey B Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265595425 PECOS PAC ID: 1153640552 Enrollment ID: I20151130001759 |
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