DR. WALTER JOHN BAKER (NPI# 1629283304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629283304 |
| Entity Type | Individual |
| Full Name | DR. WALTER JOHN BAKER |
| Credential | PH.D. |
| Practice Address |
32121 Woodward Ave Suite 201 Royal Oak MI 48073-6237 |
| Practice Telephone | 2483982200 |
| Practice Fax Number | 2483982280 |
| Mailing Telephone | 2483982200 |
| Mailing Fax Number | 2483982280 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 003199 | MI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
003199 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 680F34869 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295032019 | Walter Joseph Baker | Ophthalmology | 5544 Glass Road, Pittsburgh, PA 15205 | 2011-02-14 |
| 1376761189 | Walter C Baker | Nurse Practitioner | 500 Carolina Mdws, Chapel Hill, NC 27517-8471 | 2007-04-24 |
| 1982618906 | Walter Gary Baker | Counselor | 24225 W 9 Mile Rd Ste 114, Southfield, MI 48034-3990 | 2006-07-27 |
| Street Address |
32121 WOODWARD AVE SUITE 201 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386721397 | Melody A Williams | Nurse Practitioner | 32121 Woodward Ave, Ste 200, Royal Oak, MI 48073-0999 | 2006-11-01 |
| 1396971263 | Tavis Andrew Dancik | Internal Medicine | 32121 Woodward Ave, Suite 200, Royal Oak, MI 48073-6237 | 2009-06-05 |
| 1023257193 | Anil K Gupta M D Plc | Hearing Aid Equipment | 32121 Woodward Ave, Ste 203, Royal Oak, MI 48073-6237 | 2009-02-13 |
| 1861693079 | International Cryogenics, Inc. | Clinical Medical Laboratory | 32121 Woodward Ave, Suite 205, Royal Oak, MI 48073-6237 | 2007-05-29 |
| 1891840336 | Psychological Systems Inc | Clinical Neuropsychologist | 32121 Woodward Ave, Suite 201, Royal Oak, MI 48073-6237 | 2007-01-24 |
| 1780752543 | Tariq Kakish | Internal Medicine | 32121 Woodward Ave, Suite 204, Royal Oak, MI 48073-6237 | 2006-12-01 |
| 1609944487 | Norman J Kakos Md PC | Internal Medicine | 32121 Woodward Ave, Suite 204, Royal Oak, MI 48073-6237 | 2006-12-01 |
| 1629146493 | T N Kakish Md PC | Internal Medicine | 32121 Woodward Ave, Suite 204, Royal Oak, MI 48073-6237 | 2006-12-01 |
| 1477621241 | Norman Johnny Kakos | Internal Medicine | 32121 Woodward Ave, Suite 204, Royal Oak, MI 48073-6237 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292354 | John Francis O'leary | Clinical Neuropsychologist | 25600 Woodward Ave, Suite 107, Royal Oak, MI 48067-0943 | 2005-08-22 |
| 1750505418 | John F Oleary Ph.d. | Clinical Neuropsychologist | 25600 Woodward Ave, Suite 107, Royal Oak, MI 48067-0943 | 2007-04-12 |
| 1891840336 | Psychological Systems Inc | Clinical Neuropsychologist | 32121 Woodward Ave, Suite 201, Royal Oak, MI 48073-6237 | 2007-01-24 |
| 1912058363 | Walter L. Sobota | Clinical Neuropsychologist | 25600 Woodward Ave, S-107, Royal Oak, MI 48067-0943 | 2007-01-14 |
| 1003984907 | Diane Karle | Clinical Neuropsychologist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046098 | Axon Psychology Group, PC | Clinical Neuropsychologist | 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 | 2020-08-31 |
| 1548814965 | Emily Nicole Robinett-ferrara | Clinical Neuropsychologist | 14050 Kingston St, Oak Park, MI 48237-1140 | 2019-07-25 |
| 1649782244 | Matthew Kadrich | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-04 |
| 1992237176 | Lauren Marie Golla | Clinical Neuropsychologist | 111 E Court St Ste 1b, Flint, MI 48502-1649 | 2017-03-28 |
| 1750839783 | Ace Psychological Consultants LLC | Clinical Neuropsychologist | 1920 Livernois Rd Ste D, Troy, MI 48083-1770 | 2016-09-20 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1831516152 | Ira Lourie, Psy.d., Pllc | Clinical Neuropsychologist | 30051 High Valley Rd, Farmington Hills, MI 48331-2144 | 2014-03-25 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
| Find all providers with the same taxonomy | ||||
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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.