Balanced Psychology Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BALANCED PSYCHOLOGY SERVICES

Practice address

2777 Jefferson St Ste 203
Carlsbad, CA 92008-1743

Phone

(760) 385-8426

NPI assigned

Jun 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kelsey Michael Bradshaw, PHDNPI 1629387766

Title

Psychologist / President

Phone

(208) 310-9884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelsey Michael Bradshaw, PH.D.

  • Clinical Psychologist
  • San Marcos, CA
  • NPI 1629387766
  NPD (past) Authorized official

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560556800000",
    "number": "1518527258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MOONLIGHT DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 JEFFERSON ST STE 203",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081743",
            "telephone_number": "760-385-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED PSYCHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-15",
        "last_updated": "2019-06-15",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST / PRESIDENT",
        "authorized_official_telephone_number": "208-310-9884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Baker, DO
• Kristi J Baker, RD
• Meghan Baker, M.A.
• Sara Baker
• Bea Patrice Belen Balajadia
• Elijah Balancio
• Jhelene Balanza
• Laura Anne Balcar, RDH
• Monica Jean Balch
• Gemma Dulosa Balcita

• Clinical Psychologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; 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.