DIGEN BALLAYAN


Address: 7701 Lindbergh Blvd, Apartment #2205, Philadelphia, PA 19153-2132
Phone: 2679756170

DIGEN BALLAYAN (NPI# 1699976670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699976670
Entity Type Individual
Full Name DIGEN BALLAYAN
Practice Address 7701 Lindbergh Blvd
Apartment #2205
Philadelphia
PA 19153-2132
Mailing Address P.o. Box 42753
Philadelphia
PA 19101
Practice Telephone 2679756170
Mailing Telephone 2679756170
Enumeration Date 2007-05-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Office Location

Street Address 7701 LINDBERGH BLVD
APARTMENT #2205
City PHILADELPHIA
State PA
Zip Code 19153-2132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407825482 Ronald Wayne Kimball Ophthalmology 7701 Lindbergh Blvd, Ste 713, Philadelphia, PA 19153 2006-03-14
1467627711 Ronald W Kimball M D P C Ophthalmology 7701 Lindbergh Blvd, Suite 713, Philadelphia, PA 19153-2132 2008-04-28
1629109384 Resources for Human Development Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7701 Lindbergh Blvd, #1006, Philadelphia, PA 19153-2132 2007-03-07

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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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1043219892 James Warner Nettleton Psychologist 123 S Broad St, 22 Floor, Philadelphia, PA 19109-1029 2005-07-14
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Competitor

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City PHILADELPHIA
Zip Code 19153

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Dataset Information

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.

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