DR. DIANA BALLARD (NPI# 1114465564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114465564 |
| Entity Type | Individual |
| Full Name | DR. DIANA BALLARD |
| Credential | PHD |
| Practice Address |
510 Travis Ave Staten Island NY 10314-6154 |
| Practice Telephone | 9177632476 |
| Practice Fax Number | 7183703534 |
| Mailing Telephone | 9177632476 |
| Mailing Fax Number | 7183703534 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
BCCC#0557 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235531641 | Diana Elaine Ballard | Social Worker | 1368 W Green Hedge Way, West Jordan, UT 84084-4140 | 2014-09-17 |
| 1790226231 | Diana Ballard | Counselor | 721 S Quentin Rd, Palatine, IL 60067-6778 | 2017-03-16 |
| 1730424599 | Diana K Ballard | Hearing Instrument Specialist | 9640 N May Ave, Oklahoma City, OK 73120-2714 | 2012-12-05 |
| 1942322326 | Diana Marie Ballard | Family Medicine | 1115 Whiskeytown Ct # B, Redding, CA 96001-0227 | 2007-04-04 |
| Street Address |
510 TRAVIS AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-6154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396399515 | Percy J. Jimenez | Counselor | 23 Beekman St, Staten Island, NY 10302-2006 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579705 | Miguel H Jorge | Counselor | 303 125th St, College Point, NY 11356-1227 | 2020-08-19 |
| 1629686282 | Sharon Klein Lcsw PC | Counselor | 2158 Willow St, Wantagh, NY 11793-4223 | 2020-07-20 |
| 1588296438 | Viviana Marcel Ruiz | Counselor | 25851 Keyser Rd, Evans Mills, NY 13637-3133 | 2020-02-09 |
| 1912538802 | Mary Cordelia Myers | Counselor | 946 Oregon Trl, Pine Bush, NY 12566-5325 | 2020-01-29 |
| 1639725260 | Thomas A Shaw | Counselor | 482 Main St Ste B, Franklin, NY 13775-7709 | 2019-08-09 |
| 1316417298 | Sharon Gaines | Counselor | 45 Etville Ave, Yonkers, NY 10703-1104 | 2018-12-04 |
| 1447745062 | Richard M. Lawless | Counselor | 860 Montauk Highway, Building 1, Water Mill, NY 11976 | 2018-06-26 |
| 1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
| 1598273492 | Titilayo C Akindayomi-adewale | Counselor | 10 Lockwood Ave, New Rochelle, NY 10801-5001 | 2018-01-14 |
| 1962851360 | Joy Pellegrino | Counselor | 715 Old Kensico Rd, Thornwood, NY 10594-2306 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on DR. DIANA 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.