Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John P Baker, PHD

Individual provider Psychologist · NPI 1053643064

Dr. John P Baker, PHD is a Clinical Psychologist in Champaign, Illinois. Qualified in 2006, 20 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
20
Licensed in
WI
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1802 S Mattis Ave
Champaign, IL 61821-5923
Phone: (217) 365-2855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence NO.2819-057 (WI)

Record details

NPI number1053643064
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 2, 2010
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020
Mailing address611 W. Park St., Fapc, Urbana, IL 61801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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