ANGELA SUSAN BALLARD (NPI# 1013431899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013431899 |
| Entity Type | Individual |
| Full Name | ANGELA SUSAN BALLARD |
| Credential | LMFT 120205, PCCI |
| Practice Address |
1033 Laurel St San Carlos CA 94070-3918 |
| Mailing Address |
119 Chester St Menlo Park CA 94025-2517 |
| Practice Telephone | 6507852562 |
| Mailing Telephone | 6508622270 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
LMFT120205 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063947901 | Angela Neva Ballard | Physician Assistant | 4201 Bee Caves Rd Ste C100, West Lake Hills, TX 78746-6493 | 2017-04-28 |
| 1154673986 | Angela Michelle Ballard | Nurse Practitioner | 177 Burt Rd, Lexington, KY 40503-2457 | 2012-10-03 |
| 1376873513 | Angela Rhea Ballard | Physician Assistant | 6070 Lakeside Commons Dr, Macon, GA 31210 | 2010-01-11 |
| 1033117478 | Angela Marie Ballard | Nurse Practitioner | 201 S 5th St, Bardstown, KY 40004-1142 | 2005-07-11 |
| Street Address |
1033 LAUREL ST |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561677 | Nathaniel Gabriel Pyzik | Counselor | 1033 Laurel St, San Carlos, CA 94070-3918 | 2019-10-28 |
| 1275175481 | Marissa Renee Torres | Student in an Organized Health Care Education/Training Program | 1033 Laurel St, San Carlos, CA 94070-3918 | 2019-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958918 | Janet A. Schmidt | Psychologist | 233 Club Dr, San Carlos, CA 94070-1616 | 2016-08-30 |
| 1942334578 | Russell Chandler Llewellyn | Psychologist | 1350 Cherry St, San Carlos, CA 94070-3008 | 2007-03-15 |
| 1578619755 | Kathleen (kay) Bolter | Psychologist | 1355 San Carlos Ave Ste B, San Carlos, CA 94070-5603 | 2007-01-28 |
| 1417001918 | Ubaldo F Sanchez | Psychologist | 727 Industrial Rd, Suite 102, San Carlos, CA 94070-3391 | 2007-01-22 |
| 1790848513 | Farzaneh Amini | Psychologist | 3355 Brittan Ave, Suite #4, San Carlos, CA 94070-3430 | 2006-12-19 |
| 1750521266 | Sarah Burdge | Psychologist | 610 Elm St, Suite 212, San Carlos, CA 94070-8401 | 2009-02-23 |
| 1750504122 | Nancy Lu Quiggle | Psychologist | 957 Industrial Rd, Suite B, San Carlos, CA 94070-4151 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on ANGELA SUSAN BALLARD.
| 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.