Individual provider Active NPI

Binta Yadicon Balajo

  • Psychiatric/Mental Health Nurse Practitioner
  • Forney, TX
National Provider Identifier
1043123136
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
936472 Issued in TX
Practice address
1274 Binfield Dr
Forney, TX 75126-3574
Phone
(903) 426-3678
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 936472 TX Primary

Addresses

Primary practice location

1274 Binfield Dr
Forney, TX 75126-3574

Mailing address

1274 Binfield Dr
Forney, TX 75126-3574
Phone (903) 426-3678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1043123136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 BINFIELD DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263574",
            "telephone_number": "903-426-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 BINFIELD DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263574",
            "telephone_number": "903-426-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJO",
        "first_name": "BINTA",
        "middle_name": "YADICON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "936472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.