Provider Demographics
NPI:1720524739
Name:BAKER, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N PALM CANYON DR STE 103-1064
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5672
Mailing Address - Country:US
Mailing Address - Phone:760-861-1468
Mailing Address - Fax:855-393-8092
Practice Address - Street 1:2575 NAVARRA DR UNIT C
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-7082
Practice Address - Country:US
Practice Address - Phone:442-274-0149
Practice Address - Fax:855-393-8092
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF87552101YM0800X
CALMFT105385106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health