Active NPI
John D. Ball, PH.D.
- Clinical Neuropsychologist
- Norfolk, VA
National Provider Identifier
1568433365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810000976
- Practice address
- 721 Fairfax Ave
Suite 461
Norfolk, VA 23507-2007 - Phone
- (757) 446-8400
- Fax
- (757) 446-8401
- NPI assigned
- Jan 30, 2006
- Last updated
- Sep 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810000976 | VA | |
| Clinical Neuropsychologist | 103G00000X | 0810000976 | VA | Primary |
Addresses
Primary practice location
721 Fairfax Ave
Suite 461
Norfolk, VA 23507-2007
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-8400
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| -006 | Other | VA | TRICARE/CHAMPUS |
| 031141 | Other | VA | VALUE OPTIONS |
| 007726759 | Medicaid | VA | |
| PAR | Other | VA | UNITED BEHAVIORAL HEALTH |
| PAR | Other | VA | AETNA |
| PAR | Other | VA | CIGNA BEHAVIORAL HEALTH |
| 133033 | Other | VA | MANAGED HEALTH NETWORK |
| PAR | Other | VA | VIRGINIA PREMIER HEALTH |
| 100024679 | Other | APS | |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | CORVEL/CORCARE |
| 215683 | Other | VA | UHC/MAMSI |
| 87210 | Other | VA | SENTARA/OPTIMA |
| PAR | Other | VA | FIRST HEALTH COMMERCIAL |
| 081890 | Other | VA | ANTHEM |
| 12835 | Other | NC | BC/BS |
| 226230 | Other | VA | MAGELLAN |
| PAR | Other | VA | VIRGINIA HEALTH NETWORK |
| PAR | Other | VA | MULTIPLAN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810000976 | VA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1568433365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-446-8400",
"fax_number": "757-446-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 FAIRFAX AVE",
"address_2": "SUITE 461",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235072007",
"telephone_number": "757-446-8400",
"fax_number": "757-446-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "JOHN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000976",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810000976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-006",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "031141",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007726759",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "133033",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "100024679",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI",
"identifier": "215683",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "87210",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "081890",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "12835",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "226230",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.