MS. MONICA BALLARD-BOOTH (NPI# 1083167944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083167944 |
| Entity Type | Individual |
| Full Name | MS. MONICA BALLARD-BOOTH |
| Credential | MA, LSW |
| Practice Address |
331 State St Suite 300 Madison WV 25130-1367 |
| Practice Telephone | 3043695283 |
| Practice Fax Number | 3043694800 |
| Mailing Telephone | 3043695283 |
| Mailing Fax Number | 3043694800 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1135 | WV | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | AP00941739 | WV | Behavioral Health & Social Service Providers |
| Street Address |
331 STATE ST SUITE 300 |
| City | MADISON |
| State | WV |
| Zip Code | 25130-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
| 1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
| 1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| 1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
| Find all providers in zip 25130 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1598232548 | Different Minds LLC | Psychologist | 313 Price Pl Ste 109, Madison, WI 53705-3262 | 2018-10-29 |
| 1760967145 | Emily Cahill Forscher | Psychologist | 2801 International Ln, Madison, WI 53704-3119 | 2018-10-01 |
| 1750758033 | Patricia Humphrey | Psychologist | 4785 Hayes Rd Ste 100, Madison, WI 53704-7364 | 2015-08-21 |
| 1417348046 | Roger Rattan | Psychologist | 516 Troy Dr, Madison, WI 53704-1575 | 2015-02-18 |
| 1427453877 | Forward Psychology Group | Psychologist | 478 Commerce Dr Ste 204, Madison, WI 53719-5099 | 2014-10-28 |
| 1306247747 | Sarah Emma Porter | Psychologist | 6510 Grand Teton Plz Ste 102, Suite 24, Madison, WI 53719 | 2014-09-04 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.