RICHARD MELVIN BALABAN PHD
NPI 1558342006
Psychologist - Clinical in Bloomington, IN

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
101 W KIRKWOOD AVE, SUITE 213, BLOOMINGTON, IN 47404(812) 332-9200(812) 334-2522 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Melvin Balaban Phd NPPES

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

RICHARD MELVIN BALABAN PHD (NPI 1558342006) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (20010327) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1558342006
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameRICHARD MELVIN BALABANCredential: PHD
Location Address101 W KIRKWOOD AVE, SUITE 213Bloomington, IN 47404-6129
Mailing Address101 W. Kirkwood Ave, Suite 213Bloomington, IN 47404-6134 · (812) 332-9200 · Fax (812) 334-2522
Fax(812) 334-2522
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateNovember 10, 2005
Last NPPES UpdateOctober 30, 2007
NPI 1558342006 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 IN · 20010327
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.
101 W KIRKWOOD AVE, Bloomington, IN 47404

Other Identifiers 2

Other000000235771IN · Anthem
Medicare ID-Type Unspecified547360IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Richard Melvin Balaban Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305927211
PECOS Enrollment IDI20080117000087
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 47404 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 16

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

Optometrist
101 W KIRKWOOD AVE, STE 120
BLOOMINGTON, IN 47404
Psychologist (Clinical)
101 W KIRKWOOD AVE, SUITE 216
BLOOMINGTON, IN 47404
Counselor (Mental Health)
101 W KIRKWOOD AVE, SUITE 210
BLOOMINGTON, IN 47404
Optometrist
101 W KIRKWOOD AVE
BLOOMINGTON, IN 47404
Social Worker (Clinical)
101 W KIRKWOOD AVE, STE 213
BLOOMINGTON, IN 47404
Psychiatry & Neurology (Psychiatry)
101 W KIRKWOOD AVE, STE. 103
BLOOMINGTON, IN 47404
Social Worker (Clinical)
101 W KIRKWOOD AVE, SUITE 222
BLOOMINGTON, IN 47404
Psychiatric Unit
101 W KIRKWOOD AVE, SUITE 121
BLOOMINGTON, IN 47404

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 Richard Balaban's NPI number?

The NPI number for Richard Balaban is 1558342006. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Richard Balaban located?

Richard Balaban practices at 101 W Kirkwood Ave Suite 213, Bloomington, IN 47404. The listed phone number is (812) 332-9200.

What is Richard Balaban's specialty?

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

Is Richard Balaban enrolled in Medicare?

Yes. Richard Balaban is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Richard Balaban was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.