MELISSA DOREEN BAKER (PHD) – Psychologist, NPI 1508016866

MELISSA DOREEN BAKER (PHD) is a healthcare provider. based in Renton, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY60060436 (WA). The NPI Number for MELISSA DOREEN BAKER (PHD) is 1508016866

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA DOREEN BAKER (PHD)
NPI
1508016866
Phone
(425) 227-1311
Address
955 POWELL AVE SW
Enumeration Date
23 September 2008
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4254860658
Graduation Year
2008 (18 years ago)
PAC ID
9638471733
Group Practice PAC ID
9335042886
Professional Enrollment ID
I20160106002150
Address ID
WA980113205BO10414BLVD301

Contacts

Secure Messaging
bothell.healthpoint.p3@direct.hpc.nextgenshare.com
Secure Messaging
mbaker19632@healthpoint.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

775 CLINICAL PSYCHOLOGIST in WA

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Provider Addresses for MELISSA DOREEN BAKER (PHD)

  • 955, Powell Avenue Southwest, Renton, King County, Washington, 98057, United States

    RENTON, WA 980572908

    Phone: (425) 227-1311

    Type: Mailing

  • Beardslee Boulevard, Bothell, King County, Washington, 98011-8249, United States

    BOTHELL, WA 980113205

    Phone: (425) 486-0658

    Fax: (425) 277-1566

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160106002150IClinical PsychologistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335042886View full group profile
NameSpecialtyState
Nurse PractitionerWA
Family PracticeDC
Pediatric MedicineTN
-WA
Family PracticeID
Family PracticeWA
Family PracticeWA
General PracticeWA
Nurse PractitionerWA
Family PracticeAZ

Reviews

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Frequently asked questions

Can I verify MELISSA DOREEN BAKER (PHD) with an NPI only?
You can start verification with NPI 1508016866 for MELISSA DOREEN BAKER (PHD), then check state licensing separately.
Does the file indicate MELISSA DOREEN BAKER (PHD) is practicing under active NPI?
Directory data currently reports MELISSA DOREEN BAKER (PHD) as active.
What taxonomy line describes MELISSA DOREEN BAKER (PHD)?
For research purposes, treat MELISSA DOREEN BAKER (PHD) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MELISSA DOREEN BAKER (PHD) serve?
MELISSA DOREEN BAKER (PHD)'s listing highlights Renton, Washington; more addresses can appear in NPPES.
Is the information about MELISSA DOREEN BAKER (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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