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Dr. Matthew Robert Baker , PhD

Psychologist β€’ Riverview, FL

Active NPI 1104292507 Individual Practitioner Male Practitioner
Practice location in NPPES

12920 Summerfield Crossing Blvd
Riverview, FL 335797210

Call 8139988600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12920 Summerfield Crossing Blvd

Riverview, FL 335797210

Telephone 8139988600
Organization at the Same NPPES Address or Phone
Tampa Vamc Facility NPI 1821653080

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Los Angeles, CA; Tampa, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Riverview and Florida

10 active clinicians are listed under Psychologist with a practice address in Riverview, FL (2,204 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES FL PY10574

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

6043 Hollywood Blvd

Los Angeles, CA 900285411

Phone: 3236531990

13000 Bruce B Downs Blvd

Tampa, FL 336124745

Phone: 8139722000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Beth Anlas , DO

Internal Medicine

NPI 1871723700

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location September 10, 2019

Registered at 12920 SUMMERFIELD CROSSING BLVD, RIVERVIEW, FL 335797210 (Tel: 8139988600)

πŸ“
Updated Business Mailing Address September 10, 2019

Registered at 12920 SUMMERFIELD CROSSING BLVD, RIVERVIEW, FL 335797210

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2019

Psychologist (license number reported to NPPES: FL PY10574)

πŸ“
Updated Practice Location March 21, 2019

Registered at 13000 BRUCE B DOWNS BLVD, TAMPA, FL 336124745 (Tel: 8139722000)

πŸ“
Updated Business Mailing Address March 21, 2019

Registered at 13000 BRUCE B DOWNS BLVD, TAMPA, FL 336124745

πŸ‘€
Provider Name / Credentials Updated March 21, 2019

Recorded as MATTHEW BAKER, PH.D.

βœ…
NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 19, 2015

Registered at 6043 HOLLYWOOD BLVD, LOS ANGELES, CA 900285411 (Tel: 3236531990)

πŸ“
Business Mailing Address (Initial Record) August 19, 2015

Registered at 6043 HOLLYWOOD BLVD, LOS ANGELES, CA 900285411

πŸ‘€
Provider Name / Credentials (Initial Record) August 19, 2015

Recorded as MATTHEW BAKER, B.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 19, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104292507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2015
Last Update: September 10, 2019
Sole Proprietor: No

Mailing Address

12920 Summerfield Crossing Blvd

Riverview, FL 335797210

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.