Ballard Avenue Psychiatry PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BALLARD AVENUE PSYCHIATRY PLLC

Practice address

5306 Ballard Ave NW Ste 317
Seattle, WA 98107-4366

Phone

(206) 455-9008

Fax

(437) 537-5124

NPI assigned

Oct 11, 2019

Last updated

Oct 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Lang-Furr, MD

Title

Owner/Psychiatrist

Phone

(206) 455-9008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1720620644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 BALLARD AVE NW STE 317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074366",
            "telephone_number": "206-455-9008",
            "fax_number": "437-537-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 BALLARD AVE NW STE 317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074366",
            "telephone_number": "206-455-9008",
            "fax_number": "437-537-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD AVENUE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "LANG-FURR",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "206-455-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Ball, DO
• Mary Beth Ball, LMFT
• Jane Carol Ballantyne, MD
• Kelly Renee Ballantyne, CCC-SLP
• Ballard Acupuncture Center LLC
• Ballard Central Chiropractic Inc
• Ballard Central Massage Clinic LLC
• Ballard Chiropractic Clinic, PS (Ballard Chiropractic Clinic)
• Ballard Emergency Physicians, P.S.
• Ballard Eye Clinic PLLC (Northwest Vision Clinic)

• Adult Mental Health Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.