NPIMap

Organization Active NPI

Alliance Behavioral Psychology, LLC

Doing business as Alliance Psychology, LLC

  • Psychologist
  • Orem, UT
National Provider Identifier
1851583710
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ALLIANCE BEHAVIORAL PSYCHOLOGY, LLC
Doing business as
Alliance Psychology, LLC
Practice address
363 E 1200 S
Suite 201
Orem, UT 84058-6904
Phone
(801) 224-2313
Fax
(801) 224-4475
NPI assigned
Aug 15, 2007
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Dr. Ryan Balagna, PH.D.NPI 1346557428
Title
Owner
Phone
(801) 224-2313

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)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

363 E 1200 S
Suite 201
Orem, UT 84058-6904

Mailing address

363 E 1200 S
Suite 201
Orem, UT 84058-6904
Phone (801) 224-2313

Other practice location 1

958 N 200 E
Spanish Fork, UT 84660-1247
Phone (801) 224-2313

Other names 1

  • Alliance Psychology, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000569 UT Part B Supplier - Clinic/Group Practice 1355436791 Receives reassigned benefits from 11 practitioners
Practice locations: Orem, UT; Spanish Fork, UT

National Provider Directory

National Provider Directory

Locations

363 E 1200 S
Ste 201
Orem, UT 84058
Phone (801) 224-2313

958 N 200 E
Spanish Fork, UT 84660
Phone (801) 224-2313

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1851583710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 E 1200 S",
            "address_2": "SUITE 201",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586904",
            "telephone_number": "801-224-2313",
            "fax_number": "801-224-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 E 1200 S",
            "address_2": "SUITE 201",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586904",
            "telephone_number": "801-224-2313",
            "fax_number": "801-224-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "958 N 200 E",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846601247",
            "country_code": "US",
            "telephone_number": "801-224-2313",
            "fax_number": "801-224-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE BEHAVIORAL PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "BALAGNA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-224-2313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Psychology, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.