IndividualActive
Matthew Baker, PH.D.
NPI 1104292507 · Psychologist · Riverview, FL
Provider details
- NPI number
- 1104292507
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PY10574 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210
Phone: (813) 998-8600
Street-level locationGet directions
Mailing address
12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210
Additional practice locations (2)
- 6043 Hollywood BlvdLos Angeles, CA 90028-5411Phone: (323) 653-1990
- 13000 Bruce B Downs BlvdTampa, FL 33612-4745Phone: (813) 972-2000
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2019-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.