Active NPI
Beth Ballen, M.D.
- Psychiatry Physician
- Highland Ranch, CO
National Provider Identifier
1063559334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 45766
- Practice address
- 8671 S. Quebec St.
Ste 200
Highland Ranch, CO 80130 - Phone
- (888) 852-6672
- Fax
- (305) 891-4228
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 45766 | CO | Primary |
Addresses
Primary practice location
8671 S. Quebec St.
Ste 200
Highland Ranch, CO 80130
Mailing address
P.O. Box 400
Cotopaxi, CO 81223-0400
Phone (719) 285-5121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45766 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1063559334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 400",
"city": "COTOPAXI",
"state": "CO",
"postal_code": "812230400",
"telephone_number": "719-285-5121",
"fax_number": "719-218-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8671 S. QUEBEC ST.",
"address_2": "STE 200",
"city": "HIGHLAND RANCH",
"state": "CO",
"postal_code": "80130",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLEN",
"first_name": "BETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "45766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.