Edward S. Ballis, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

76517 Issued in MA

Legal business name

EDWARD S. BALLIS, M.D.

Practice address

115 W Silver St
Westfield, MA 01085-3628

Phone

(413) 568-2811

Fax

(413) 572-5192

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nu Santaniello

Title

Administrative Assistant

Phone

(413) 568-2811

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BALLIS PSYCHIATRIC ASSOCIATES Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Benjamin Landstrom, APRN,BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Westfield, MA
  • NPI 1427138254
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1407051089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010860519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SILVER ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853628",
            "telephone_number": "413-568-2811",
            "fax_number": "413-572-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S. BALLIS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SANTANIELLO",
        "authorized_official_first_name": "NU",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "413-568-2811",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "76517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "10418",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BALLIS PSYCHIATRIC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Noel Dumonsau
• Shannon Marie Dunham
• Christina Durocher
• Michael Durocher
• Julianne R Earle, DO
• Christine Edwards, LICSW
• Ejfiniziolmhc
• Kaysie Lynn Elg, M.ED.
• Katelyn Elie
• Roula Elkhoury, M.D.

• Psychiatry Physician in Westfield, MA
• Providers in Westfield, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.