Victor A Balta, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME 83027 Issued in FL

Practice address

4000 N Highway A1A PH 2
Fort Pierce, FL 34949-8530

Phone

(772) 359-9529

NPI assigned

Mar 17, 2006

Last updated

Mar 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MCCD FL Psychiatry Services PA

  dba Talkiatry

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457
  Medicare reassignment NPD
• MCCD Psychiatry Services PLLC

  dba Talkiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823

  FL

  Medicare reassignment NPD
• 2ND Chance Mental Health Center, LLC

  • Clinical Social Worker
  • Port St Lucie, FL
  • NPI 1942518246
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1851350029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N HIGHWAY A1A PH 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349498530",
            "telephone_number": "772-359-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N HIGHWAY A1A PH 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349498530",
            "telephone_number": "772-359-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTA",
        "first_name": "VICTOR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83027",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 83027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "62795",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265998100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darla L Bagwell, ARNP
• Jeffrey Keith Baker Sr., M.S.
• Anastasia Baklashev, BS
• Andrea J Balconis, MD
• Fatima Shakoor Baloch, PA-C
• Ana Banks
• Earnestine Banks, PHARMD
• Shawn Banner
• Banner's Loving Care LLC
• Joseph Barbre

• Psychiatry Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.