Individual provider Active NPI

Jean Balan, MD

  • Prescribing (Medical) Psychologist
  • West Palm Beach, FL
National Provider Identifier
1497463160
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
678329-1 Issued in FL
Practice address
7150 Okeechobee Blvd Apt 4302
West Palm Beach, FL 33411-2476
Phone
(772) 208-8797
NPI assigned
Nov 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X 678329-1 FL Primary

Addresses

Primary practice location

7150 Okeechobee Blvd Apt 4302
West Palm Beach, FL 33411-2476

Mailing address

7150 Okeechobee Blvd Apt 4302
West Palm Beach, FL 33411-2476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
678329-1FLMDPrescribing (Medical) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1497463160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 OKEECHOBEE BLVD APT 4302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 OKEECHOBEE BLVD APT 4302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112476",
            "telephone_number": "772-208-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAN",
        "first_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "FL",
            "license": "678329-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.