Organization Active NPI

Kenya J Ballard MSN Aprn Pmhmp PLLC

  • Psychiatry Physician
  • Royse City, TX
National Provider Identifier
1073781746
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KENYA J BALLARD MSN APRN PMHMP PLLC
Practice address
9554 County Road 2440
Royse City, TX 75189-3082
Phone
(214) 552-8606
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Kenya J Ballard, MSN, APRN, PMHMP
Title
Provider
Phone
(214) 528-8606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

9554 County Road 2440
Royse City, TX 75189-3082

Mailing address

9554 County Road 2440
Royse City, TX 75189-3082
Phone (214) 552-8606

Other names 1

  • North East Texas Psychiatric Associates Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address inquiry@northeasttexaspsych.com

National Provider Directory

National Provider Directory

Locations

520 Bradburn Rd
#2015
Grand Saline, TX 75140
Phone (903) 962-4234

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1073781746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9554 COUNTY ROAD 2440",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751893082",
            "telephone_number": "214-552-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9554 COUNTY ROAD 2440",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751893082",
            "telephone_number": "214-552-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENYA J BALLARD MSN APRN PMHMP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "214-528-8606",
        "authorized_official_credential": "MSN, APRN, PMHMP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inquiry@northeasttexaspsych.com",
            "affiliation": "N",
            "address_1": "9554 County Road 2440",
            "city": "Royse City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751893082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North East Texas Psychiatric Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "North East Texas Psychiatric Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Royse City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.