Ballen Medical & Wellness

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BALLEN MEDICAL & WELLNESS

Practice address

6081 S Quebec St Ste 100
Centennial, CO 80111-4537

Phone

(720) 222-0550

Fax

(720) 496-4948

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Sara Short

Title

Director

Phone

(720) 637-7283

Specialties & licenses 3

Addresses

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: office@ballenmedical.com

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1619682671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 S QUEBEC ST STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114537",
            "telephone_number": "720-222-0550",
            "fax_number": "720-496-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 S QUEBEC ST STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114537",
            "telephone_number": "720-222-0550",
            "fax_number": "720-496-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLEN MEDICAL & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-637-7283"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Office@ballenmedical.com",
            "affiliation": "N",
            "endpointDescription": "Can send secure link",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6081 S Quebec St Ste 100",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801114537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Office@ballenmedical.com",
            "affiliation": "N",
            "endpointDescription": "Can send secure link",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6081 S Quebec St Ste 100",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801114537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatry Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.