Sheila A Balog, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1287 Issued in ME

Practice address

63 Elm St Ste a
Topsham, ME 04086-1424

Phone

(207) 749-8732

Fax

(678) 432-1397

NPI assigned

Oct 4, 2006

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1073608360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SAMOSET TRL",
            "city": "EAST BOOTHBAY",
            "state": "ME",
            "postal_code": "045446252",
            "telephone_number": "207-749-8732",
            "fax_number": "678-432-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ELM ST STE A",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861424",
            "telephone_number": "207-749-8732",
            "fax_number": "678-432-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOG",
        "first_name": "SHEILA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa J Arendell, PHD
• Aubrey C. Gail DCPC (Community Chiropractic and Wellness Center)
• Janet L Austin, MASTERS/CERTIFICATIO
• Thomas C Babbitt II, LCPC-C
• Ritika Bahri
• Peter A Beauboeuf, O.D.
• Lisa M Belisle, MD, MPH
• Jessica Bell, DO
• David Conner Benton, MD
• Jason Carlton Berry, PTA

• Clinical Psychologist in Topsham, ME
• Providers in Topsham, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.