NPIMap

Organization Active NPI

Phillip Balfanz, MD PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kerrville, TX
National Provider Identifier
1609554534
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PHILLIP BALFANZ, MD PLLC
Practice address
123 Commerce St Ste a
Kerrville, TX 78028-4951
Phone
(830) 538-0127
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Phillip Eugene Balfanz, MDNPI 1194924399
Title
Owner/Director
Phone
(830) 538-0127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

123 Commerce St Ste a
Kerrville, TX 78028-4951

Mailing address

123 Commerce St Ste a
Kerrville, TX 78028-4951
Phone (830) 538-0127

Other names 1

  • Live Oak Psychiatric Services Doing business as

National Provider Directory

National Provider Directory

Locations

123 Commerce St
Ste A
Kerrville, TX 78028
Phone (830) 285-0001

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1609554534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 COMMERCE ST STE A",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284951",
            "telephone_number": "830-538-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 COMMERCE ST STE A",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284951",
            "telephone_number": "830-538-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP BALFANZ, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "BALFANZ",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "830-538-0127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.