Elena A. Balzac, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

7425 Issued in MA

Practice address

1419 Beacon St
Suite 33
Brookline, MA 02446-4808

Phone

(617) 792-8761

NPI assigned

Jan 30, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 11, 2024 through Apr 11, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235275868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 BEACON ST",
            "address_2": "SUITE 33",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464808",
            "telephone_number": "617-792-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 BEACON ST",
            "address_2": "SUITE 33",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464808",
            "telephone_number": "617-792-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZAC",
        "first_name": "ELENA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "7425",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W05787",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gia Baldassano
• Chelsea Baldwin, M.S.W.
• Karina Balkh, LMHC
• Barbara Goldberg Ball
• Karin Ballay
• Kevin M Ban, M.D.
• Orit Bar-on
• Nitai Bar
• Rodrigo Barahona, PSYA D LMHC LADC-1
• Aliaa Barakat, PHD, MS

• Clinical Neuropsychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.