Active NPI
Balsa Autism Center, PLLC
- Psychologist
- Fayetteville, NC
National Provider Identifier
1194622019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- BALSA AUTISM CENTER, PLLC
- Practice address
- 2507 Mirror Lake Dr
Fayetteville, NC 28303-5209 - Phone
- (910) 900-9459
- NPI assigned
- Oct 23, 2026
- Last updated
- Oct 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fiona Balsa, PH.D
- Title
- Owner / Managing Member
- Phone
- (910) 900-9459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2507 Mirror Lake Dr
Fayetteville, NC 28303-5209
Mailing address
2507 Mirror Lake Dr
Fayetteville, NC 28303-5209
Phone (910) 900-9459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1194622019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 MIRROR LAKE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035209",
"telephone_number": "910-900-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 MIRROR LAKE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035209",
"telephone_number": "910-900-9459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALSA AUTISM CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-23",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A",
"authorized_official_last_name": "BALSA",
"authorized_official_first_name": "FIONA",
"authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
"authorized_official_telephone_number": "910-900-9459",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.