Sheila a. Balog, PH.D., PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY2369 Issued in GA

Legal business name

SHEILA A. BALOG, PH.D., PC

Practice address

55 Jonesboro St
McDonough, GA 30253-3164

Phone

(678) 583-4975

NPI assigned

Feb 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sheila A Balog, PHD

Title

President

Phone

(678) 583-4975

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033250873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JONESBORO ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533164",
            "telephone_number": "678-583-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 JONESBORO ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533164",
            "telephone_number": "678-583-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA A. BALOG, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALOG",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-583-4975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "PSY2369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00857073C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halee Noel Sharpe, NP
• Kimberly Sharpe
• Jennifer Nicole Sharpless, PT, DPT
• Kerri Sheffield, OTR/L
• Rhonda Sheffield, RBT
• Azam Molook Sheirling, LCSW
• Shellys Wright Choice LLC
• Lydia Sheppard, DNP, PMHNP-BC
• Rhonda Sheppard, PHYSICAL THERAPIST
• Sheppard'S Progressive Rehabilitation

• Mental Health Clinic/Center (Including Community Mental Health Center) in McDonough, GA
• Providers in McDonough, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.