Susan Fralick-Ball, PSYD, MSN

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS015093 Issued in PA

Practice address

360 Barby Rd
Blue Bell, PA 19422-1717

Phone

(215) 565-5803

NPI assigned

Oct 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista Medical Services IncGroup PAC ID 5597743344, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vista Medical Services, Inc.

  • Psychiatry Physician
  • Bala Cynwyd, PA
  • NPI 1659452027
  Medicare reassignment Care Compare group NPD
• Main Line Affiliates

  • Psychiatry Physician
  • Radnor, PA
  • NPI 1083777239

  Clinical Neuropsychologist

  NPD (past)

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1053696161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BARBY RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221717",
            "telephone_number": "215-565-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BARBY RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221717",
            "telephone_number": "215-565-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALICK-BALL",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015093",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS16513824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forever Young Senior Care Center (Fyscc)
• Lisa Meryl Forman, LSW
• Fornance Physician Services, Inc (Broad Axe Family Medicine)
• Fornance Physician Services, Inc
• Danielle Fox, MA, NCC, LPC
• Scott Howard Fredd, M.D.
• Scott Martin Fried, D.O.
• Full Spectrum Energy Medicine, Inc.
• Emma Furino, CNM, WHNP
• Judith Gail Furman, MA

• Clinical Psychologist in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.