Len Douglas Balke, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

46880 Issued in AZ

Practice address

1680 W Iron Springs Rd Ste 103
Prescott, AZ 86305-3313

Phone

(928) 235-6346

Fax

(928) 421-3182

NPI assigned

Nov 18, 2005

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Kansas School of Med (KC/Wich/Sal), 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• L. Douglas Balke MD PLC

  • Psychiatry Physician
  • Prescott, AZ
  • NPI 1093449761
  Medicare reassignment NPD Authorized official
• Serene Life LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prescott, AZ
  • NPI 1912518853
  NPD (past)
• Alpine Clinic, LLC

  • Counseling Psychologist
  • Durango, CO
  • NPI 1821137662
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1992787527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CRYSTAL VIEW DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016696",
            "telephone_number": "928-235-6346",
            "fax_number": "928-421-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W IRON SPRINGS RD STE 103",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053313",
            "telephone_number": "928-235-6346",
            "fax_number": "928-421-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKE",
        "first_name": "LEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "46880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Bahlman III, RPH
• Lisa Jae Bailey, OT/L
• Jasmine Baker
• Sarah Baker, LCSW
• Balance Multicare, PLC (HealthSource Chiropractic & Progressive Rehab)
• Daniel J Ballard, MD
• Kathryn T Ballard, M.D.
• Judy G Bandy, FNP
• Kaitlyn R Banning
• Barbara Swain, PHD, PC

• Psychiatry Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.