Ballard M Burgher III, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30779 Issued in TX

Practice address

3701 Kirby Dr
Ste 890
Houston, TX 77098-3918

Phone

(713) 397-3859

Fax

(713) 838-8633

NPI assigned

Jul 13, 2006

Last updated

Jan 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Caitlin Payne LCSW PLLC

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  • Houston, TX
  • NPI 1013539790
  NPD (past)
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1154346989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR",
            "address_2": "STE 890",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983918",
            "telephone_number": "713-397-3859",
            "fax_number": "713-838-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR",
            "address_2": "STE 890",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983918",
            "telephone_number": "713-397-3859",
            "fax_number": "713-838-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGHER",
        "first_name": "BALLARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040338808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Burgess
• Patricia Ann Burgess, M.D.
• Renequa M Burgess, LCSW
• Shawna Burgess, PT
• Shayna Danielle Burgess
• Julie Ann Burgman, PA
• Gabriela Nicole Burgos Collazo
• Elsie Y Burgos, MA
• Gilberto Ventura Burgos
• Melissa Burgos

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.