Active NPI
Holcomb-Ballash, PLLC
- Clinical Psychologist
- Clay, WV
National Provider Identifier
1720547409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- HOLCOMB-BALLASH, PLLC
- Practice address
- 1500 Clay Hwy #101
Clay, WV 25043 - Phone
- (304) 549-3188
- NPI assigned
- Mar 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara J. Ballash
- Title
- Owner
- Phone
- (304) 549-3188
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1500 Clay Hwy #101
Clay, WV 25043
Mailing address
1130 E 346TH St
Eastlake, OH 44095-2946
Phone (304) 549-3188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13834876 | Other | CAQH PROVIDER ID | |
| 1538517354 | Other | INDIVIDUAL PROVIDER/OWNER NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Clay, WV
- NPI 1538517354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1720547409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 E 346TH ST",
"city": "EASTLAKE",
"state": "OH",
"postal_code": "440952946",
"telephone_number": "304-549-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CLAY HWY #101",
"city": "CLAY",
"state": "WV",
"postal_code": "25043",
"telephone_number": "304-549-3188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLCOMB-BALLASH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-13",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "BALLASH",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-549-3188"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "13834876",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PROVIDER/OWNER NPI",
"identifier": "1538517354",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clay, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.