ANGELA SUSAN BALLARD LMFT 120205, PCCI
NPI 1013431899
Psychologist - Clinical in San Carlos, CA

Q: What is Angela Ballard's NPI number?

The NPI number for Angela Ballard is 1013431899. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Q: What is Angela Ballard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Angela Ballard was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2017

1033 LAUREL ST, SAN CARLOS, CA 94070(650) 785-2562 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2020, Aug 2, 2017 (2 updates tracked since 2017).

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About Angela Susan Ballard Lmft 120205, Pcci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA SUSAN BALLARD LMFT 120205, PCCI (NPI 1013431899) is an individual clinical provider in San Carlos, California, licensed in California (LMFT120205) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1013431899

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameANGELA SUSAN BALLARDCredential: LMFT 120205, PCCI

Location Address1033 LAUREL STSan Carlos, CA 94070-3918

Mailing Address119 Chester StMenlo Park, CA 94025-2517 · (650) 862-2270

Phone(650) 785-2562

Sole ProprietorYes

Enumeration DateAugust 2, 2017

Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration

NPPES CertifiedJuly 28, 2020

✔ NPI 1013431899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · LMFT120205

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1033 LAUREL ST, San Carlos, CA 94070

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONCEPCION FUENTES PEER SPECIALIST

Peer Specialist