Organization Active NPI

Balsa Autism Center, PLLC

  • Psychologist
  • Fayetteville, NC
National Provider Identifier
1194622019
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.