Michael R Ballard, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301010838 Issued in MI

Practice address

16587 Enterprise Dr
Three Rivers, MI 49093-7902

Phone

(269) 273-2024

Fax

(269) 273-3191

NPI assigned

Apr 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Transitions Wellness Center LLC

  • Psychologist
  • Three Rivers, MI
  • NPI 1215155403
  NPD Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982822169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16587 ENTERPRISE DR",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490937902",
            "telephone_number": "269-273-2024",
            "fax_number": "269-273-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16587 ENTERPRISE DR",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490937902",
            "telephone_number": "269-273-2024",
            "fax_number": "269-273-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Armstrong
• Assisted Living Concepts Inc (Bowman House)
• Mary Auber, DNP
• Richard Allen Baisch, LPC LLP
• Sara Baker, RN
• Christopher Lee Barnes, PSYD
• Marissa Barocio
• Daniel Barrett
• Beacon Kalamazoo Inc (Beacon Kalamazoo)
• Beacon Medical Group, Inc. (Beacon Medical Group Three Rivers Specialty Clinic)

• Psychologist in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.