Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS SPENCER BENJAMIN LACKMAN BAKER, MD
ActiveNICHOLAS SPENCER BENJAMIN LACKMAN BAKER, MD is a Psychiatry healthcare provider located in SAN MATEO, California. NPI 1760060115 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · SAN MATEO, CA
Registration Details
- NPI Number
- 1760060115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2021 (5.3716664603576 yrs)
- Last Updated
- Dec 16, 2025
- Licenses
-
12985841-1205 (UT)A201790 (CA)
Practice Information
- Address
-
1900 OFARRELL ST STE 140SAN MATEO, CA, 944031332Browse CA providers · Browse ZIP 94403
- Phone
- 6503934788
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in SAN MATEO, CA
| Name | Credential | NPI |
|---|---|---|
| MARVIN H FIRESTONE | M.D. | 1376540245 |
| DAVID M ISENMAN | MD | 1225071400 |
| DR. WILLIAM REEVES TATOMER | MD | 1104862689 |
| MINA KAE FISHER | M.D. | 1124037874 |
| TASHA LYNN SOUTER | MD | 1831206697 |
| DR. D. TODD FEELEY | M.D. | 1548351158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.