HEATHER PETRILLO BALOG
NPI 1427634351
Psychologist - School in Santa Ana, CA

Active since March 22, 2021
1715 E WILSHIRE AVE, SANTA ANA, CA 92705(714) 245-6769 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather Petrillo Balog NPPES

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

HEATHER PETRILLO BALOG (NPI 1427634351) is an individual school provider in Santa Ana, California, licensed in California (4105) and active in the NPI registry since March 2021.Information from the official NPPES registry record, last updated March 22, 2021.

NPPES Registry Identity

NPI1427634351
Entity TypeIndividualFemale
Provider Legal NameHEATHER PETRILLO BALOG
Location Address1715 E WILSHIRE AVESanta Ana, CA 92705-4644
Mailing Address1715 E Wilshire Ave Ste 706Santa Ana, CA 92705-4652 · (714) 245-6769
Sole ProprietorNo
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 8, 2021
NPI 1427634351 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Psychologist · School

Taxonomy 103TS0200X · Behavioral Health & Social Service Providers

Licensed in CA · 4105

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The… Show more

1715 E WILSHIRE AVE, Santa Ana, CA 92705

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427634351, enumerated as an "individual" on March 22, 2021.

The provider is located at 1715 E WILSHIRE AVE SANTA ANA, CA 92705 and the phone number is (714) 245-6769.

Psychologist with taxonomy code 103TS0200X and a focus in School.