Bud C Ballinger III, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014946 Issued in NY

Practice address

54 Utica St # a
Hamilton, NY 13346-1108

Phone

(315) 380-7865

NPI assigned

Jun 26, 2006

Last updated

Jun 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Buddy C Ballinger III Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1720015779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 UTICA ST # A",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461108",
            "telephone_number": "315-380-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 UTICA ST # A",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461108",
            "telephone_number": "315-380-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "BUD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014946",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "014946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUDDY",
            "last_name": "BALLINGER",
            "middle_name": "C",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancy Marie Adamy, LCSW
• Carina M Alfaro-Franco, MS MD FACC
• Judith Artessa, PT
• Julie Ann Benedict, FNP-BC
• Farron C Bennett, RPA-C
• Jill M Bennett, RPH
• Brian J Berry, PA
• Devan Ropposch Berry, D.D.S.

• Clinical Psychologist in Hamilton, NY
• Providers in Hamilton, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.