Active NPI
Rebecca Elise Ballinger, PSYD
- Psychologist
- Redlands, CA
National Provider Identifier
1902276306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY27166
- Practice address
- 101 E Redlands Blvd Ste 234G
Redlands, CA 92373 - Phone
- (909) 326-2562
- Fax
- (909) 658-8734
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY27166 | CA | Primary |
Addresses
Primary practice location
101 E Redlands Blvd Ste 234G
Redlands, CA 92373
Mailing address
101 E Redlands Blvd Ste 234G
Redlands, CA 92373-4775
Phone (909) 326-2562
Other practice location 1
1686 Barton Rd
Redlands, CA 92373-1488
Phone (909) 558-9552
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 |
|---|---|---|---|
| PSY27166 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Parenting Solutions Psychological Services | Psychologist | Current | Accepting new patients |
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.
-
- Psychologist
- Redlands, CA
- NPI 1447885272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1902276306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD STE 234G",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734775",
"telephone_number": "909-326-2562",
"fax_number": "909-658-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD STE 234G",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-326-2562",
"fax_number": "909-658-8734"
}
],
"practiceLocations": [
{
"address_1": "1686 Barton Rd",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923731488",
"country_code": "US",
"telephone_number": "909-558-9552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLINGER",
"first_name": "REBECCA",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY27166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.