Healthcare Provider Details

I. General information

NPI: 1952186025
Provider Name (Legal Business Name): CIARA BAUMANN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CIARA JAMES

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 SELBY AVE STE 215
SAINT PAUL MN
55102-2855
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 914-815-5552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY.0006230
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP7359
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: