Individual provider Active NPI

Allison Coleman Ballew, PH.D.

  • Clinical Psychologist
  • Cary, NC
National Provider Identifier
1972502508
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3404 Issued in NC
Practice address
9003 Weston Pkwy
Lucy Daniels Center for Early Childhood
Cary, NC 27513-2201
Phone
(919) 677-1459
Fax
(919) 677-1489
NPI assigned
Jul 15, 2005
Last updated
Sep 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P2530 TN
Clinical Psychologist 103TC0700X 3404 NC Primary

Addresses

Primary practice location

9003 Weston Pkwy
Lucy Daniels Center for Early Childhood
Cary, NC 27513-2201

Mailing address

9003 Weston Pkwy
Lucy Daniels Center for Early Childhood
Cary, NC 27513-2201
Phone (919) 677-1459

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P2530TNMDClinical Psychologist
3404NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Lucy Daniels Center for Early Childhood Past Accepting new patients
Lucy Daniels Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1972502508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 WESTON PKWY",
            "address_2": "LUCY DANIELS CENTER FOR EARLY CHILDHOOD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132201",
            "telephone_number": "919-677-1459",
            "fax_number": "919-677-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 WESTON PKWY",
            "address_2": "LUCY DANIELS CENTER FOR EARLY CHILDHOOD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132201",
            "telephone_number": "919-677-1459",
            "fax_number": "919-677-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEW",
        "first_name": "ALLISON",
        "middle_name": "COLEMAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P2530",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.