SPENCER L BALLARD (NPI# 1679513717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679513717 |
| Entity Type | Individual |
| Full Name | SPENCER L BALLARD |
| Credential | D.O. PSYCHIATRIST (S |
| Practice Address |
2830 Corunna Rd Flint MI 48503-3254 |
| Mailing Address |
16250 Northland Drive Suite 238 Southfield MI 48075-5227 |
| Practice Telephone | 8102356812 |
| Practice Fax Number | 8102347022 |
| Mailing Telephone | 2489055175 |
| Mailing Fax Number | 2489055178 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
5101006388 | MI | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5101006388 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | P26850002 | 05 |
| Street Address |
2830 CORUNNA RD |
| City | FLINT |
| State | MI |
| Zip Code | 48503-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689668725 | Mona Lee Sander | Social Worker | 2830 Corunna Rd, Flint, MI 48503-3254 | 2005-09-05 |
| 1619506680 | Jessica Pitts | Case Manager/Care Coordinator | 2830 Corunna Rd, Flint, MI 48503-3254 | 2020-04-02 |
| 1104464650 | Devon Payne | Counselor | 2830 Corunna Rd, Flint, MI 48503-3254 | 2019-12-16 |
| 1003458589 | Ryan Christopher Ploch | Social Worker | 2830 Corunna Rd, Flint, MI 48503-3254 | 2019-10-16 |
| 1861051617 | Makita Nelson | Case Manager/Care Coordinator | 2830 Corunna Rd, Flint, MI 48503-3254 | 2019-06-06 |
| 1457817637 | Heather Grace Hall | Counselor | 2830 Corunna Rd, Flint, MI 48503-3254 | 2019-02-13 |
| 1518430701 | Kristin Leigh Chevrette | Registered Nurse | 2830 Corunna Rd, Flint, MI 48503-3254 | 2019-01-10 |
| 1124539564 | Brandie Sanders | Social Worker | 2830 Corunna Rd, Flint, MI 48503 | 2017-10-12 |
| 1922526623 | Gregory Scott Thornhill | Psychologist | 2830 Corunna Rd, Flint, MI 48503-3254 | 2017-09-01 |
| 1063934768 | Sierra Horton | Social Worker | 2830 Corunna Rd, Flint, MI 48503-3254 | 2017-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| 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 |
|---|---|---|---|---|
| 1841840220 | Brainstim LLC | Psychiatry & Neurology | 4413 Corunna Rd Uppr Level, Flint, MI 48532-4359 | 2019-09-17 |
| 1861666166 | Jae C Kim, Md, PC | Psychiatry & Neurology | 5031 Villa Linde Pkw, Flint, MI 48532-3446 | 2008-04-17 |
| 1992902613 | K.v. Mathew, M.d., P.C. | Psychiatry & Neurology | 4448 Oakbridge Dr Ste A, Flint, MI 48532-5484 | 2007-06-27 |
| 1427145812 | Marvin Faust | Psychiatry & Neurology | 1420 W 3rd Ave, Flint, MI 48504-4827 | 2006-10-06 |
| 1043244411 | Nikhil K Vora | Psychiatry & Neurology | 4413 Corunna Rd, Flint, MI 48532 | 2006-07-10 |
| 1457387201 | Hurley Medical Center | Psychiatry & Neurology | 1085 S Linden Rd Ste 150, Flint, MI 48532 | 2006-06-23 |
| 1336183698 | Datla Raju | Psychiatry & Neurology | 2811 E Court St, Flint, MI 48506-4054 | 2006-06-16 |
| 1376522342 | Marion Dunn | Psychiatry & Neurology | 653 S Saginaw St Ste 316, Flint, MI 48502-1523 | 2006-01-10 |
| 1184612590 | James Thomas Aills | Psychiatry & Neurology | 4448 Oakbridge Dr, Suite A, Flint, MI 48532-5494 | 2005-10-10 |
| 1295734762 | Jae Chul Kim | Psychiatry & Neurology | 5031 Villa Linde Pkwy, Ste 20, Flint, MI 48532-3448 | 2005-07-18 |
| Find all providers in FLINT | ||||
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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.