DR. AMANDA D BALL (NPI# 1003116112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003116112 |
| Entity Type | Individual |
| Full Name | DR. AMANDA D BALL |
| Credential | PSY.D |
| Practice Address |
808 S Eldorado Rd Ste 102 Bloomington IL 61704-6071 |
| Practice Telephone | 3097063190 |
| Practice Fax Number | 3095884115 |
| Mailing Telephone | 3097063190 |
| Mailing Fax Number | 3095884115 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2012-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008473 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992153282 | Amanda Ball | Speech-Language Pathologist | 917 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2016-05-27 |
| 1427462423 | Amanda L Ball | Speech-Language Pathologist | 4116 47th Ave, Apt. 1f, Sunnyside, NY 11104-3055 | 2014-06-17 |
| 1851723878 | Amanda Blakeney Ball | Registered Nurse | 2703 Clinton Way, Denver, CO 80238-2903 | 2013-08-01 |
| 1104459924 | Amanda Ball | Nurse Practitioner | 801 5th St, Sioux City, IA 51101-1326 | 2020-02-20 |
| 1285117572 | Amanda C Ball | Counselor | 4531 Se Belmont St Ste 300, Portland, OR 97215-1675 | 2018-09-12 |
| 1255843371 | Amanda Ball | Behavioral Analyst | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2017-10-30 |
| 1205220431 | Amanda Ball | Pediatrics | 15 Warren St, New York, NY 10007-0029 | 2015-03-25 |
| 1588060917 | Amanda Ball | Social Worker | 1031 Brookhaven Rd, Franklin, KY 42134-2743 | 2014-11-12 |
| 1720494156 | Amanda Rose Ball | Physician Assistant | 34th Street and Civic Center Blvd, Neonatal/infant Intensive Care Unit, Philadelphia, PA 19104 | 2014-07-07 |
| 1356691745 | Amanda Ahmed Ball | Dentist | 381 S Kools St, Appleton, WI 54914-3932 | 2012-09-13 |
| Street Address |
808 S ELDORADO RD STE 102 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568491199 | Allison Dawn Denehy | Counselor | 808 S Eldorado Rd, Bloomington, IL 61704-6071 | 2006-07-03 |
| 1528461522 | Rebecca Evans | Occupational Therapist | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2014-10-03 |
| 1922417740 | Nicole Uhlmann | Social Worker | 808 S Eldorado Rd, Ste 102, Bloomington, IL 61704-6071 | 2014-08-06 |
| 1629412507 | Tomike Lana | Psychologist | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2013-04-23 |
| 1184067191 | Heather O'brien | Psychologist | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2013-04-09 |
| 1821358987 | Thomas Lloyd Slattery | Psychologist | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2012-05-23 |
| 1164728127 | Bobby Joe Leebold | Social Worker | 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 | 2011-02-08 |
| 1326352881 | Kelly Jo Knutson | Psychologist | 808 S Eldorado Rd, Ste 102, Bloomington, IL 61704-6071 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154885028 | Sara J. W. Biebl, Ph.d., Licensed Psychologist, Pllc | Psychologist | 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431-1112 | 2019-01-24 |
| 1053894501 | Thrive Psychology Services, LLC | Psychologist | 4120 W Dresden Dr, Bloomington, IN 47404-8403 | 2018-09-11 |
| 1194184465 | Chjl LLC | Psychologist | 8120 Penn Ave S Ste 252, Bloomington, MN 55431-1358 | 2016-02-16 |
| 1992100077 | Lindeman and Associates, LLC | Psychologist | 3802 E 3rd St, Suite 220, Bloomington, IN 47401-5504 | 2014-10-30 |
| 1255772174 | Amanda Quinby | Psychologist | 205 N College Ave Ste 512, Bloomington, IN 47404-3952 | 2013-07-08 |
| 1457609802 | Jason Vasquez | Psychologist | 2416 Washington, A-3, Bloomington, IL 61704 | 2012-08-16 |
| 1710282058 | Annorah Sheeran Moorman | Psychologist | 1319 Fell Ave, Bloomington, IL 61701-1828 | 2011-01-18 |
| 1477860609 | Hoffmann Burchett Psychological Services, LLC | Psychologist | 205 N Williamsburg Dr, Suite F, Bloomington, IL 61704-7706 | 2010-09-09 |
| 1356654693 | James Wiltz | Psychologist | 2745 E Elderberry Ct, Bloomington, IN 47401-4307 | 2010-07-15 |
| 1528207784 | Jennifer Elizabeth Koch | Psychologist | 2502 E Empire St Ste C, Bloomington, IL 61704-3739 | 2009-02-11 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on DR. AMANDA D BALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.