Provider Demographics
NPI:1396043378
Name:STEVEN BAUM, PSY.D.
Entity Type:Organization
Organization Name:STEVEN BAUM, PSY.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUM
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:510-287-9024
Mailing Address - Street 1:5665 COLLEGE AVE STE 330A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1656
Mailing Address - Country:US
Mailing Address - Phone:510-287-9024
Mailing Address - Fax:
Practice Address - Street 1:5665 COLLEGE AVE STE 330A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1656
Practice Address - Country:US
Practice Address - Phone:510-287-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17497103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty