Active NPI
Lawrence B Ball, PSY.D.
- Clinical Psychologist
- Santa Claus, IN
National Provider Identifier
1861465817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042996A
- Practice address
- 100 N Louis J Koch Blvd # 203
Santa Claus, IN 47579-8540 - Phone
- (310) 951-3894
- NPI assigned
- Feb 9, 2006
- Last updated
- Jan 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18983 | CA | |
| Clinical Psychologist | 103TC0700X | 20042996A | IN | Primary |
Addresses
Primary practice location
100 N Louis J Koch Blvd # 203
Santa Claus, IN 47579-8540
Mailing address
PO Box 719
Santa Claus, IN 47579-0719
Phone (310) 951-3894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18983 | CA | MD | Clinical Psychologist |
| 20042996A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1861465817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "SANTA CLAUS",
"state": "IN",
"postal_code": "475790719",
"telephone_number": "310-951-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N LOUIS J KOCH BLVD # 203",
"city": "SANTA CLAUS",
"state": "IN",
"postal_code": "475798540",
"telephone_number": "310-951-3894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "LAWRENCE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18983",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042996A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Claus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.