JORGE BALLESTEROS PH.D.
NPI 1194574699
Psychologist - Clinical in Woodland Hills, CA

Active since May 16, 2024PECOS Enrolled
21781 VENTURA BLVD, WOODLAND HILLS, CA 91364(818) 270-8354 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2024, May 16, 2024 (2 updates tracked since 2024).

About Jorge Ballesteros Ph.d. NPPES

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

JORGE BALLESTEROS PH.D. (NPI 1194574699) is an individual clinical provider in Woodland Hills, California, licensed in California (34652) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194574699
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJORGE BALLESTEROSCredential: PH.D.
Location Address21781 VENTURA BLVDWoodland Hills, CA 91364-1835
Mailing Address21781 Ventura BlvdWoodland Hills, CA 91364-1835 · (818) 270-8354
Sole ProprietorYes
Enumeration DateMay 16, 2024
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1194574699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 34652
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.

21781 VENTURA BLVD, Woodland Hills, CA 91364

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jorge Ballesteros Ph.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91364 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
21781 VENTURA BLVD, SUITE 308
WOODLAND HILLS, CA 91364
Internal Medicine (Hospice and Palliative Medicine)
21781 VENTURA BLVD, #510
WOODLAND HILLS, CA 91364
Specialist/Technologist, Other (Electroneurodiagnostic)
21781 VENTURA BLVD, SUITE 113
WOODLAND HILLS, CA 91364
Durable Medical Equipment & Medical Supplies
21781 VENTURA BLVD, # 416
WOODLAND HILLS, CA 91364

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194574699, enumerated as an "individual" on May 16, 2024.

The provider is located at 21781 VENTURA BLVD WOODLAND HILLS, CA 91364 and the phone number is (818) 270-8354.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.