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DR. DIANA BALLARD PHD
NPI 1114465564
Counselor - Pastoral in Staten Island, NY

Active since February 06, 2017
510 TRAVIS AVE, STATEN ISLAND, NY 10314(917) 763-2476(718) 370-3534 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2017, Feb 6, 2017 (2 updates tracked since 2017).

About Dr. Diana Ballard Phd NPPES

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

DR. DIANA BALLARD PHD (NPI 1114465564) is an individual pastoral provider in Staten Island, New York, licensed in New York (BCCC#0557) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1114465564
Entity TypeIndividualFemale
Primary Taxonomy101YP1600X
Provider Legal NameDR. DIANA BALLARDCredential: PHD
Location Address510 TRAVIS AVEStaten Island, NY 10314-6154
Mailing Address510 Travis AveStaten Island, NY 10314-6154 · (917) 763-2476 · Fax (718) 370-3534
Phone(917) 763-2476
Fax(718) 370-3534
Sole ProprietorYes
Enumeration DateFebruary 6, 2017
Last NPPES UpdateApril 21, 20172 updates tracked since enumeration
✔ NPI 1114465564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License✔ Licensed in NY · BCCC#0557
510 TRAVIS AVE, Staten Island, NY 10314
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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 Diana Ballard's NPI number?

The NPI number for Diana Ballard is 1114465564. It was assigned to this individual provider in the NPPES registry on February 6, 2017.

Where is Diana Ballard located?

Diana Ballard practices at 510 Travis Ave, Staten Island, NY 10314. The listed phone number is (917) 763-2476.

What is Diana Ballard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Diana Ballard was last updated on April 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.