DR. MARY J BAKER-ERICZEN


Address: 3990 Old Town Ave Ste A207, San Diego, CA 92110-2967
Phone: 8586997978

DR. MARY J BAKER-ERICZEN (NPI# 1144330382) 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) 1144330382
Entity Type Individual
Full Name DR. MARY J BAKER-ERICZEN
Credential PHD
Practice Address 3990 Old Town Ave Ste A207
San Diego
CA 92110-2967
Practice Telephone 8586997978
Mailing Telephone 8586997978
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PSY17553 CA Behavioral Health & Social Service Providers
X 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
PSY17553 CA Behavioral Health & Social Service Providers

Office Location

Street Address 3990 OLD TOWN AVE STE A207
City SAN DIEGO
State CA
Zip Code 92110-2967

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457638124 Intricate Mind Institute, LLC Psychologist 3990 Old Town Ave Ste A207, San Diego, CA 92110-2967 2011-11-09

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NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730711375 Benjamin Alpert, Psyd, A Psychological Corporation Psychologist 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 2020-02-11
1134787815 Kyline Sky Bellotti Psychologist 5025 Collwood Blvd # 3316, San Diego, CA 92115-2126 2019-05-29
1376007815 San Diego Kids First Psychologist 12625 High Bluff Dr Ste 111, San Diego, CA 92130-2053 2019-01-29
1346628179 Orchid Healthcare Inc Psychologist 15373 Innovation Drive, Ste 395, San Diego, CA 92128-3429 2015-05-13
1417394669 Eliana Hurwich-reiss Psychologist 3665 Kearny Villa Rd Ste 200, San Diego, CA 92123-1954 2013-05-29
1548517287 Jamie Lynn Young Psychologist 11665 Avena Pl Ste 204, San Diego, CA 92128-2428 2012-08-13
1063733707 Kristen J Peairs Psychologist 1224 Bush St, San Diego, CA 92103-2809 2010-06-16
1265661714 Lauren Brookman-frazee Psychologist 3020 Children's Way (mc 5033), San Diego, CA 92123 2009-07-06
1083879506 Mary Lou Macilvaine Psychologist 4313 Ridgeway Dr, San Diego, CA 92116-2052 2008-07-24
1720003056 Miranda B Williams Psychologist 7290 Navajo Rd Ste 105, San Diego, CA 92119 2006-07-13
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Competitor

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City SAN DIEGO
Zip Code 92110

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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