Active NPI
Sonia Bayani Yballe, MD
- Psychiatry Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01052060A
- Practice address
- 8401 Harcourt Rd
Indianapolis, IN 46260-2036 - Phone
- (317) 338-4600
- NPI assigned
- Aug 22, 2005
- Last updated
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000320591 | Other | IN | ANTHEM BCBS |
| 200449740 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01052060A | IN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Laporte County Comprehensive Mental Health Council | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Psychiatry | Current | Accepting new patients |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Mid-America Mental Health LLC | Psychiatry | Current | 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.
-
dba Swanson Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Michigan City, IN
- NPI 1295746816
-
dba NorthShore Regional Health Centers
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
dba Madison State Hospital
- Psychiatric Hospital
- Madison, IN
- NPI 1700876224
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
IL
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Portage, IN
- NPI 1407061336
Psychiatry
-
dba Indiana Department of Health
- Public Health or Welfare Agency
- Indianapolis, IN
- NPI 1023613403
-
dba NeuroDiagnostic Institute
- Psychiatric Hospital
- Indianapolis, IN
- NPI 1043338684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.