Kaitlin Baker Proctor, PhD
Psychologist, Clinical Child & Adolescent in Atlanta, GA. Individual provider (NPI-1).
NPI number1629557145
StatusActive
Last updated in NPPESAug 7, 2018
Details
- NPI
- 1629557145
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Baker Proctor
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2018
- Last updated
- Aug 7, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | PSY004209 | GA | Yes |
Other names
- Kaitlin Denise Baker (Other Name)
Practice location
1920 Briarcliff Rd NeAtlanta, GA 30329-4010
Phone 404-785-9350
Mailing address
245 E Trinity Pl Unit 1425Decatur, GA 30030-3494
Phone 205-999-2298
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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