Gregory Balogun

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GREGORY BALOGUN

Doing business as

Genesis Mental Health Services

Practice address

10118 Bent Tree Dr
Rowlett, TX 75089-8392

Phone

(214) 392-4454

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Balogun

Title

Adm

Phone

(214) 392-4454

Specialties & licenses 1

Addresses

Other names 1

• Genesis Mental Health Services Doing business as

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386701324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10118 BENT TREE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898392",
            "telephone_number": "214-392-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10118 BENT TREE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898392",
            "telephone_number": "214-392-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY BALOGUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "214-392-4454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Dawn Gordon, MD
• Diane Grant, RN
• Angela Jones Gray, DDS
• Greater Lewisville Therapy Center Inc
• Lauren Calista Green, RBT
• Joanna Richardson Gregory, RN
• Gricelda Lamas
• Benjamin Griffin, LPC
• Uma Lakshmi Guduru
• Cynthia Guerrero, RBT

• Developmentally Disabled Services Day Training Agency in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.