JACK DAVID BAKER PHD
NPI 1073155453
Psychologist in Arlington, VA
About Jack David Baker Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK DAVID BAKER PHD (NPI 1073155453) is an individual psychologist in Arlington, Virginia and active in the NPI registry since October 2019. He has opted out of Medicare through November 14, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jack David Baker Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2022 through November 14, 2026.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARLINGTON, VA 22209
ARLINGTON, VA 22209
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Baker's NPI number?
The NPI number for Jack Baker is 1073155453. It was assigned to this individual provider in the NPPES registry on October 17, 2019.
Where is Jack Baker located?
Jack Baker practices at 1530 Wilson Blvd Ste 360, Arlington, VA 22209. The listed phone number is (571) 534-3825.
What is Jack Baker's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jack Baker enrolled in Medicare?
No. Jack Baker has opted out of Medicare through November 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jack Baker was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.