Individual provider Active NPI

Ronnette P. Ballard, PSY.D.

  • Psychologist
  • Pflugerville, TX
National Provider Identifier
1891026936
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34216 Issued in TX
Practice address
103 12TH St
Suite 201
Pflugerville, TX 78660-3960
Phone
(512) 704-8349
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34216 TX Primary

Addresses

Primary practice location

103 12TH St
Suite 201
Pflugerville, TX 78660-3960

Mailing address

103 12TH St
Suite 201
Pflugerville, TX 78660-3960
Phone (512) 704-8349

Other identifiers 1

IdentifierTypeStateIssuer
2107872MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Psychology and Behavioral Health Services LLC Current Accepting new patients

Locations

8700 Menchaca Rd
Ste 303
Austin, TX 78748
Phone (512) 704-8349

103 12th St
Ste 201
Pflugerville, TX 78660
Phone (512) 704-8349

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1891026936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 12TH ST",
            "address_2": "SUITE 201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603960",
            "telephone_number": "512-704-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 12TH ST",
            "address_2": "SUITE 201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603960",
            "telephone_number": "512-704-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "RONNETTE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107872",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.