Ellen Balze, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS009029-L Issued in PA

Practice address

11 Bala Ave
Bala Cynwyd, PA 19004-3201

Phone

(215) 519-4056

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Dresher Treatment Group Inc.

  • Psychiatry Physician
  • Chalfont, PA
  • NPI 1750497038
  NPD (past)
• Yapa Group Therapy, Inc.

  dba Dresher Psychotherapy Associates

  • Clinical Psychologist
  • Chalfont, PA
  • NPI 1265473722
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1467487371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043201",
            "telephone_number": "215-519-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043201",
            "telephone_number": "215-519-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZE",
        "first_name": "ELLEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009029-L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS009029-L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "PS009029-L",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PA",
            "license": "PS009029-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bala Medical Associates P.C.
• Bala Medical, Inc (Bala Medical Associates)
• Bala Orthodontics, LLC
• Bala Podiatry Associates
• Bala Spine & Wellness
• Bancroft Neurohealth
• Jessica A. Banji-Ajala
• Stephanie Monique Banks, DPT
• Ashley Bannister, RD, LDN
• Ronald Bruce Barg, MD

• Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.