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BALLAINE PSYCHOLOGICAL SERVICES INC
NPI 1841287885
Psychologist - Clinical in Fairbanks, AK

Active since October 04, 2005
1040 MEADOW MOUSE RD, FAIRBANKS, AK 99709(907) 479-8933(907) 479-8934 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ballaine Psychological Services Inc NPPES

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

BALLAINE PSYCHOLOGICAL SERVICES INC (NPI 1841287885) is a healthcare organization registered as a clinical in Fairbanks, Alaska and active in the NPI registry since October 2005. The organization lists Kornelia Grabinska, President, as its authorized official.

NPPES Registry Identity

NPI1841287885
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBALLAINE PSYCHOLOGICAL SERVICES INC
Location Address1040 MEADOW MOUSE RDFairbanks, AK 99709-6618
Mailing Address1040 Meadow Mouse RdFairbanks, AK 99709-6618 · (907) 479-8933
Phone(907) 479-8933
Fax(907) 479-8934
Organization SubpartNo
Authorized OfficialKornelia GrabinskaPresident · (907) 479-8933
Enumeration DateOctober 4, 2005
Last NPPES UpdateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
✔ NPI 1841287885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
1040 MEADOW MOUSE RD, Fairbanks, AK 99709
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ballaine Psychological Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlaskaEnrollment IDO20040518000695Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ballaine Psychological Services Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kornelia Grabinska, PHD
Clinical Psychologist
NPI 1124015169
1040 MEADOW MOUSE RD
Fairbanks, AK 99709
(907) 479-8933
✔ PECOS✔ Accepts MedicareSame address

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

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 Ballaine Psychological Services Inc's NPI number?

The NPI number for Ballaine Psychological Services Inc is 1841287885. It was assigned to this organization in the NPPES registry on October 4, 2005.

Where is Ballaine Psychological Services Inc located?

Ballaine Psychological Services Inc is located at 1040 Meadow Mouse Rd, Fairbanks, AK 99709. The listed phone number is (907) 479-8933.

What is Ballaine Psychological Services Inc's specialty?

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

Is Ballaine Psychological Services Inc enrolled in Medicare?

Yes. Ballaine Psychological Services Inc is registered in the Medicare PECOS enrollment system.

When is Ballaine Psychological Services Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ballaine Psychological Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Ballaine Psychological Services Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ballaine Psychological Services Inc was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.