BRIDGETTE GALYE BALASKO (NPI# 1164621959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164621959 |
| Entity Type | Individual |
| Full Name | BRIDGETTE GALYE BALASKO |
| Credential | M.D. |
| Practice Address |
310 S Extension Rd Mesa AZ 85210-1292 |
| Mailing Address |
3540 E Baseline Rd Ste 150 Phoenix AZ 85042-9630 |
| Practice Telephone | 4806153800 |
| Practice Fax Number | 4806153861 |
| Mailing Telephone | 6028082700 |
| Mailing Fax Number | 6028082799 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2018-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
45963 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
310 S EXTENSION RD |
| City | MESA |
| State | AZ |
| Zip Code | 85210-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 1548653942 | Latosha Moorehead | Registered Nurse | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-03-09 |
| 1104219674 | Cindy Gramm | Registered Nurse | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-03-09 |
| 1134511397 | Yvette Pena Rhodes | Registered Nurse | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-02-25 |
| 1154713345 | Shannon Ryszka | Social Worker | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-02-24 |
| 1518101237 | People of Color Network | Clinic/Center | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983433 | Integrity Mental Health LLC | Psychiatry & Neurology | 455 N Mesa Dr Ste 6, Mesa, AZ 85201-5936 | 2017-10-19 |
| 1578088605 | Lee Cohn | Psychiatry & Neurology | 1720 N Gentry Cir, Mesa, AZ 85213-3417 | 2017-08-09 |
| 1841633641 | Aris Mosley | Psychiatry & Neurology | 570 W. Brown Rd., Mesa, AZ 85201 | 2013-04-10 |
| 1750642153 | Cerola Guerdie Charles | Psychiatry & Neurology | 5416 E Southern Ave Ste 106, Mesa, AZ 85206-3622 | 2012-06-01 |
| 1144438243 | Adnan Celjo | Psychiatry & Neurology | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202 | 2007-05-20 |
| 1306980164 | Chandler Tamara Gunning | Psychiatry & Neurology | 3740 E Southern, Suite 110, Mesa, AZ 85206 | 2007-02-16 |
| 1689753352 | Jaroslaw F Opechowski | Psychiatry & Neurology | 2929 N. Power Rd, Suite 101, Mesa, AZ 85215 | 2006-11-03 |
| 1346323110 | Jose Alberto Agosto | Psychiatry & Neurology | 310 South Extension Road, Mesa, AZ 85210 | 2006-10-23 |
| 1760429856 | Michael Brennan | Psychiatry & Neurology | 868 E University Dr, Mesa, AZ 85203-8033 | 2006-05-31 |
| 1922052182 | Laura Don | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-05-20 |
| Find all providers in MESA | ||||
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| 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.