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TAKIYSHA MCLEOD-BALLARD
NPI 1073974143
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since March 16, 2016PECOS Enrolled
726 QUINCY ST FL 4, BROOKLYN, NY 11221(347) 826-6167(917) 397-3520 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2024, Aug 11, 2023, Jan 20, 2017 and 2 more (5 updates tracked since 2016).

About Takiysha Mcleod-ballard NPPES

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

TAKIYSHA MCLEOD-BALLARD (NPI 1073974143) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (401983) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1073974143
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTAKIYSHA MCLEOD-BALLARD
Location Address726 QUINCY ST FL 4Brooklyn, NY 11221-2210
Mailing Address32 W Dean StFreeport, NY 11520-2106 · (917) 757-2596
Phone(347) 826-6167
Fax(917) 397-3520
Sole ProprietorYes
Enumeration DateMarch 16, 2016
Last NPPES UpdateApril 30, 20255 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1073974143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401983
726 QUINCY ST FL 4, Brooklyn, NY 11221
Open in Google Maps ↗

Secondary Practice Location 1

Location 1535 W 110th St Apt 1ENew York, NY 10025-2021 · Phone (212) 280-4740

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Takiysha Mcleod-ballard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Takiysha Mcleod-ballard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brooklyn Center For Psychotherapy,inc.
2.4 mi
Mental Health (Including Community Mental Health Center)
300 FLATBUSH AVE
Brooklyn, NY 11217
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1275516213 (718) 622-2000
Housing Works Services II, Inc
2.9 mi
Federally Qualified Health Center (FQHC)
57 WILLOUGHBY ST
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 41 clinicians in this Medicare group
NPI 1083647101 (718) 408-6522

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Takiysha Mcleod-ballard's NPI number?

The NPI number for Takiysha Mcleod-ballard is 1073974143. It was assigned to this individual provider in the NPPES registry on March 16, 2016.

Where is Takiysha Mcleod-ballard located?

Takiysha Mcleod-ballard practices at 726 Quincy St Fl 4, Brooklyn, NY 11221. The listed phone number is (347) 826-6167.

What is Takiysha Mcleod-ballard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Takiysha Mcleod-ballard enrolled in Medicare?

Yes. Takiysha Mcleod-ballard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Takiysha Mcleod-ballard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Takiysha Mcleod-ballard reassigns Medicare benefits to 2 organizations: Brooklyn Center For Psychotherapy,inc. (Brooklyn, NY) and Housing Works Services II, Inc (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Takiysha Mcleod-ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Takiysha Mcleod-ballard was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.