Ellen W Ballerene, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35080057 Issued in OH

Practice address

601 Edwin C. Moses Blvd.
Samaritan Behavioral Health, Elizabeth Place, 4TH Floor
Dayton, OH 45417-0000

Phone

(937) 276-8333

Fax

(937) 276-8339

NPI assigned

Sep 8, 2005

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Georgetown University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Uvpc Specialists, Inc.Group PAC ID 8921022260, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/
• FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uvpc Specialists Inc.

  • Surgery Physician
  • Troy, OH
  • NPI 1831115492
  Medicare reassignment Care Compare group NPD
• Samaritan Behavioral Health, Inc.

  • Clinic/Center
  • Dayton, OH
  • NPI 1205888641
  Medicare reassignment NPD
• Samaritan Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1235490939
  NPD
• Samaritan Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1629022330
  NPD
• Uvpc Specialists, Inc.

  dba Upper Valley Orthopedics

  • Orthopaedic Surgery Physician
  • Troy, OH
  • NPI 1699911446
  NPD
• Scioto Paint Valley Mental Health Center

  • Multi-Specialty Clinic/Center
  • Chillicothe, OH
  • NPI 1255308136
  NPD (past)
• Scioto Paint Valley Mental Health Center

  • Primary Care Clinic/Center
  • Chillicothe, OH
  • NPI 1790116747
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1174517924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EDWIN C. MOSES BLVD.",
            "address_2": "SAMARITAN BEHAVIORAL HEALTH, ELIZABETH PLACE, 4TH FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45417",
            "telephone_number": "937-276-8333",
            "fax_number": "937-276-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EDWIN C. MOSES BLVD.",
            "address_2": "SAMARITAN BEHAVIORAL HEALTH, ELIZABETH PLACE, 4TH FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454170000",
            "telephone_number": "937-276-8333",
            "fax_number": "937-276-8339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Edwin C. Moses Blvd.",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45417",
            "country_code": "US",
            "telephone_number": "937-734-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLERENE",
        "first_name": "ELLEN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35080057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ballard, MOT, OTR/L
• Thandiwe J Ballard, CNP
• Zachary Thomas Ballard, PMHNP, MS
• Jay Ballen, MD
• Sydne Nicole Ballengee
• John Michael Ballester, M.D.
• Timothy Ballew
• Jason Scott Ballin, D.O.
• Comfort Olufolake Balogun
• Joseph Daniel Leal Balon

• Psychiatry Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.