Organization Active NPI

Joseph R. Balzarett, M.D., P.C.

  • Adult Mental Health Clinic/Center
  • Vienna, VA
National Provider Identifier
1760625479
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0101023170 Issued in VA
Legal business name
JOSEPH R. BALZARETT, M.D., P.C.
Practice address
8206 Leesburg Pike Ste 207
Vienna, VA 22182-2614
Phone
(703) 893-8585
Fax
(703) 893-3879
NPI assigned
Apr 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. Joseph R. Balzarett, M.D.NPI 1134145170
Title
Psychiatrist
Phone
(703) 893-8585

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0101023170 VA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 0101023170 VA

Addresses

Primary practice location

8206 Leesburg Pike Ste 207
Vienna, VA 22182-2614

Mailing address

8206 Leesburg Pike Ste 207
Vienna, VA 22182-2614
Phone (703) 893-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170123001324 DC Part B Supplier - Clinic/Group Practice 3072895317 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, VA

National Provider Directory

National Provider Directory

Locations

8206 Leesburg Pike
Ste 207
Vienna, VA 22182
Phone (703) 893-8585

Practitioners & affiliated clinicians

Practitioners 2

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": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1760625479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE STE 207",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-893-8585",
            "fax_number": "703-893-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE STE 207",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-893-8585",
            "fax_number": "703-893-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. BALZARETT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "BALZARETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "703-893-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0101023170",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "VA",
            "license": "0101023170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.