Individual provider Active NPI

Ashlee Ballard, PSYD

  • Psychologist
  • Sharon Hill, PA
National Provider Identifier
1366229437
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
921 Chester Pike
Sharon Hill, PA 19079-1411
Phone
(610) 304-9552
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

921 Chester Pike
Sharon Hill, PA 19079-1411

Mailing address

1440 S 21St St
Philadelphia, PA 19146-4510

Other practice location 1

422 E 22nd St
Chester, PA 19013-5201
Phone (610) 304-9552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119001841 PA Practitioner - Clinical Psychologist 1355876012 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Healthcare Solutions CurrentSince Nov 1, 2024 Accepting new patients
Family Health Psychology Center LLC Psychologist CurrentSince Nov 9, 2024 Accepting new patients

Locations

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1366229437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S 21ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CHESTER PIKE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190791411",
            "telephone_number": "610-304-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190135201",
            "country_code": "US",
            "telephone_number": "610-304-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "ASHLEE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon Hill, PA

Sources for this page

Verify at the official NPI Registry.