npidexNPI registry + Medicare data

MARY BAKER-ERICZEN, PHD

Intellectual & Developmental Disabilities Psychologist · SAN DIEGO, CA

Individual Active Opted out of Medicare NPI 1144330382

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Intellectual & Developmental Disabilities Psychologist103TM1800X✓PSY17553CA
Clinical Child & Adolescent Psychologist103TC2200XPSY17553CA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2022-03-20 through 2028-03-20.

Other Intellectual & Developmental Disabilities Psychologist providers in California

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.