Individual provider Active NPI

Sonia Bayani Yballe, MD

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1306838784
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01052060A Issued in IN
Practice address
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Phone
(317) 338-4600
NPI assigned
Aug 22, 2005
Last updated
Aug 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01052060A IN Primary
Child & Adolescent Psychiatry Physician 2084P0804X 01052060A IN

Addresses

Primary practice location

8401 Harcourt Rd
Indianapolis, IN 46260-2036

Mailing address

8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129

Other identifiers 2

IdentifierTypeStateIssuer
000000320591OtherINANTHEM BCBS
200449740MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040126000112 IN Practitioner - Psychiatry 5991607350 Reassigns benefits to 4 organizations
I20250218000114 IL Practitioner - Psychiatry 5991607350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-America Mental Health LLCGroup PAC ID 9739476201, 11 clinicians

Practice addresses (Care Compare)

9335 Calumet Ave
Suite D
Munster, IN 46321-4176
Phone (219) 836-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01052060AINMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana, Auditor of State CurrentSince Apr 23, 2019 Accepting new patients
State of Indiana, Auditor of State CurrentSince Apr 23, 2019 Accepting new patients
Northshore Health Centers Inc Current Accepting new patients
Laporte County Comprehensive Mental Health Council CurrentSince Apr 23, 2018 Accepting new patients
Northshore Health Centers, Inc. CurrentSince Nov 4, 2017 Accepting new patients
Northshore Health Centers, Inc. Psychiatry CurrentSince Nov 4, 2017 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 27, 2025 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients
Mid-America Mental Health LLC Psychiatry CurrentSince Feb 4, 2020 Accepting new patients

Locations

250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346

3400 Lincoln Ave
Evansville, IN 47714
Phone (812) 469-6800

5435 E 16th St
Indianapolis, IN 46218
Phone (317) 941-4000

1230 W State Road 2
Ste B
La Porte, IN 46350
Phone (219) 362-2145

1098 S State Road 25
Logansport, IN 46947
Phone (574) 722-4141

8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232

7224 W 400 N
Michigan City, IN 46360
Phone (219) 879-4621

9335 Calumet Ave
Ste D
Munster, IN 46321
Phone (219) 671-1298

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

402 Wall St
Ste 23
Valparaiso, IN 46383
Phone (219) 615-3136

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1306838784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 COMMERCE PARK PL STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602036",
            "telephone_number": "317-338-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBALLE",
        "first_name": "SONIA",
        "middle_name": "BAYANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01052060A",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01052060A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000320591",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200449740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.