DR. SUSAN CHRISTINE BAIRD (NPI# 1497899801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497899801 |
| Entity Type | Individual |
| Full Name | DR. SUSAN CHRISTINE BAIRD |
| Credential | PH.D. |
| Practice Address |
8036 Moorsbridge Rd. Suite 2 Portage MI 49024-4419 |
| Practice Telephone | 2693271438 |
| Practice Fax Number | 2693276454 |
| Mailing Telephone | 2693271438 |
| Mailing Fax Number | 2693276454 |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2008-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301012476 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH PROVIDER ID | 11608898 | 01 |
| MI | PROFESSIONAL LICENSE NUMB | 6301012476 | 01 |
| MI | BCBSM PIN | 68-0-C9-1310-0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586982 | Susan V. Baird | Specialist | 9860 Lee Hwy, Suite 1, Fairfax, VA 22030-1702 | 2005-08-24 |
| 1225305758 | Susan King Baird | Registered Nurse | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2011-11-29 |
| 1689715914 | Susan Gail Baird | Registered Nurse | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2007-02-09 |
| Street Address |
8036 MOORSBRIDGE RD. SUITE 2 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1689965329 | Carolyn J Heineman Phd LLC | Psychologist | 5228 Lovers Ln, Suite 104, Portage, MI 49002-1521 | 2011-04-28 |
| 1609994029 | Robert Alan Rodenhiser | Psychologist | 1611 W Centre, Suite 203, Portage, MI 49024 | 2007-03-26 |
| 1285702548 | David W. Parks | Psychologist | 6337 Central Ave, Portage, IN 46368-3801 | 2006-12-02 |
| 1720015985 | Joel Schwartz | Psychologist | 5877 Central Ave Ste A, Portage, IN 46368-2920 | 2006-06-26 |
| 1609837855 | Linda L Hill | Psychologist | 3141 Willowcreek Rd, Suite F, Portage, IN 46368-4468 | 2006-03-29 |
| 1215914304 | Steven Glen Townsend | Psychologist | 8928 Portage Rd, Portage, MI 49002-6420 | 2005-12-29 |
| 1558342030 | Patricia Moulton Guilford | Psychologist | 5930 Lovers Ln, Portage, MI 49002-1673 | 2005-11-10 |
| 1730176587 | John Michael Spores | Psychologist | 3349 Willowcreek Rd, Portage, IN 46368-5015 | 2005-10-05 |
| 1013473768 | Millicent M Perkins | Psychologist | 5930 Lovers Ln, Portage, MI 49002-1673 | 2019-02-19 |
| Find all providers in PORTAGE | ||||
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| 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.