Active NPI
Barbara Ballard, PH.D.
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1508889361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 575
- Practice address
- 2309 Randolph Rd
Charlotte, NC 28207-1525 - Phone
- (704) 358-4641
- Fax
- (704) 358-4642
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 575 | NC | Primary |
Addresses
Primary practice location
2309 Randolph Rd
Charlotte, NC 28207-1525
Mailing address
2309 Randolph Rd
Charlotte, NC 28207-1525
Phone (704) 358-4641
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas M. Plott and Barbara R. Ballard | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Charlotte, NC
- NPI 1285744193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508889361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071525",
"telephone_number": "704-358-4641",
"fax_number": "704-358-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071525",
"telephone_number": "704-358-4641",
"fax_number": "704-358-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.