GERALD J BALSAM (NPI# 1487729059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487729059 |
| Entity Type | Individual |
| Full Name | GERALD J BALSAM |
| Credential | M.D. |
| Practice Address |
736 N Magnolia Ave Advanced Psychiatric Group, P.a. Orlando FL 32803-3809 |
| Practice Telephone | 4074237149 |
| Practice Fax Number | 4074220470 |
| Mailing Telephone | 4074237149 |
| Mailing Fax Number | 4074220470 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2009-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME0023057 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME23057 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 038468200 | 05 |
| Street Address |
736 N MAGNOLIA AVE ADVANCED PSYCHIATRIC GROUP, P.A. |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612426 | Jeffrey Howard Nard | Psychiatry & Neurology | 736 N Magnolia Ave, Orlando, FL 32803-3809 | 2005-10-11 |
| 1275173783 | Amy Edang Zecevic | Nurse Practitioner | 736 N Magnolia Ave, Orlando, FL 32803-3809 | 2020-01-13 |
| 1376003160 | Juliet Nelson | Registered Nurse | 736 N Magnolia Ave, Orlando, FL 32803-3809 | 2019-03-20 |
| 1043534951 | Morteza Nadjafi, M.d.,p.a. | Psychiatry & Neurology | 736 N Magnolia Ave, Orlando, FL 32803-3809 | 2010-03-22 |
| 1831136118 | Pamela Rose Badzinski | Nurse Practitioner | 736 N Magnolia Ave, Orlando, FL 32803-3809 | 2006-06-02 |
| 1639126246 | Frank Bodenmiller | Counselor | 736 N Magnolia Ave, Orlando, FL 32803-3809 | 2006-05-28 |
| 1912954660 | Morteza Nadjafi | Psychiatry & Neurology | 736 N Magnolia Ave, Orlando, FL 32803-3809 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| 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 |
|---|---|---|---|---|
| 1114575636 | Mosaico Mental Health Center Corp | Psychiatry & Neurology | 12315 Lake Underhill Rd Ste B, Orlando, FL 32828-4507 | 2019-08-28 |
| 1326602566 | Lake Nona Psychiatric Associates, LLC | Psychiatry & Neurology | 8511 Adalina Pl, Orlando, FL 32827-7277 | 2019-04-23 |
| 1063986461 | Sunshine Premier Wellness Center LLC | Psychiatry & Neurology | 4365 Hunters Park Ln # 50, Orlando, FL 32837-7614 | 2019-01-18 |
| 1578918462 | Sbm Medical Services, LLC. | Psychiatry & Neurology | 14225 Ludgate Hill Ln, Orlando, FL 32828-7921 | 2016-04-27 |
| 1487919932 | Luis Javier Olivera-rodriguez | Psychiatry & Neurology | 6001 Vineland Rd Ste 109, Orlando, FL 32819-7829 | 2012-07-11 |
| 1568627701 | Bay Hill Psychiatric Associates LLC | Psychiatry & Neurology | 2869 Wilshire Dr Ste 203, Orlando, FL 32835-3282 | 2008-07-28 |
| 1598932378 | The Gutman Pain/accident Center, Inc | Psychiatry & Neurology | 301 N Fern Creek Ave, Orlando, FL 32803-5400 | 2008-05-12 |
| 1750407680 | Samuel Sidney Mcclure | Psychiatry & Neurology | 504 N.wymore Rd., Orlando, FL 32789 | 2007-03-22 |
| 1801912894 | Aysha Meloukheia | Psychiatry & Neurology | 422 S Alafaya Trail Suite 17, Orlando, FL 32828 | 2007-03-21 |
| 1962542282 | Earl Paul Taitt Jr. | Psychiatry & Neurology | 4151 Hunters Park Lane, Suite 100, Orlando, FL 32837-7690 | 2007-02-07 |
| Find all providers in ORLANDO | ||||
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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.