Alexander Penaranda Balongoy, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144436 Issued in TX

Practice address

230 Shepherd HL
Canyon Lake, TX 78133-5606

Phone

(210) 332-2160

NPI assigned

Jan 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hill Country Community MHMR CenterGroup PAC ID 3072599752, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hill Country Community MHMR Center

  • Community/Behavioral Health Agency
  • Kerrville, TX
  • NPI 1841304201
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1073144358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WATER ST STE 300",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SHEPHERD HL",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781335606",
            "telephone_number": "210-332-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALONGOY",
        "first_name": "ALEXANDER",
        "middle_name": "PENARANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Marie Arrillaga, LCDCI
• Linda J Atkins, LMSW
• B'Nai-El Ministries (Holistic Recovery Alliance)
• Baiamonte Healthcare & Wellness Center
• Brooke Corine Baker, PT, DPT
• Cecilia Maria Belcher, M.A. CCC/SLP
• Tawnya Bensinger, PHARMD
• Jessica Ann Bentley, LPC-A
• Bexarcare Pediatric Home Healthcare
• Blue Water Therapists, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.