KATHLEEN BAYNES, Ph.D. — NPI 1245204825 (Licensed & Credentialed Clinical Neuropsychologist in MATHER, CA)

CMS-1500 Box 24J / 33a • NPI

1245204825

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103G00000X

Licensed & Credentialed Clinical Neuropsychologist

Box 32 Service Location & ZIP+4

10633 GRISSOM AVE, SACRAMENTO VA MENTAL HEALTH CLINIC, MATHER, CA, 95655-4123

✓ 9-Digit EDI 837 ZIP+4 (95655-4123)

Practice Phone & Referral Fax

(916) 366-5420

Fax: (916) 366-5325

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245204825 (KATHLEEN BAYNES, Ph.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245204825` (NPI-1 Individual Practitioner)
Provider / Legal Name	KATHLEEN BAYNES, Ph.D.
Plain-English Specialty	Licensed & Credentialed Clinical Neuropsychologist NUCC Code: `103G00000X` (Clinical Neuropsychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	10633 GRISSOM AVE, SACRAMENTO VA MENTAL HEALTH CLINIC, MATHER, CA, 95655-4123
Practice Telephone / Fax	Tel: (916) 366-5420 \| Fax: (916) 366-5325
Administrative Mailing Address	1544 NEWTON CT, DAVIS, CA, 95616-4859
Enumeration & Last Sync	Enumerated: 2006-02-13 \| CMS Record Updated: 2026-07-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10633 GRISSOM AVE, SACRAMENTO VA MENTAL HEALTH CLINIC, MATHER, CA, 95655-4123

🗺️ Open in Google Maps 🏥 More Providers in MATHER

🔒 Are you KATHLEEN BAYNES, Ph.D.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (103G00000X)

What Does Taxonomy Code 103G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Neuropsychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KATHLEEN BAYNES, Ph.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: CA \| License: `15157` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

KATHLEEN BAYNES, Ph.D. (NPI #1245204825)