DR. JOSEPH ANTHONY BALSAMO (NPI# 1225085194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225085194 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH ANTHONY BALSAMO |
| Credential | PSY.D. |
| Practice Address |
818 Nw 17th Ave Portland OR 97209-2327 |
| Practice Telephone | 5032272027 |
| Practice Fax Number | 5032273836 |
| Mailing Telephone | 5032272027 |
| Mailing Fax Number | 5032273836 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 0911 | OR | Behavioral Health & Social Service Providers |
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
0911 | OR | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
0911 | OR | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
0911 | OR | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
0911 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON MEDICAL ASSISTANCE | 046966 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275778052 | Joseph Christopher Balsamo | Optometrist | 24 Sherman Road, Old Bethpage, NY 11804 | 2008-12-09 |
| 1063541795 | Joseph Salvatore Balsamo | Physician Assistant | State Rd 571, Las Clinicas Del Nonte Bldg #28, El Rito, NM 87530 | 2007-03-06 |
| 1487650222 | Joseph Balsamo | Internal Medicine | 687 Campbell Ave, West Haven, CT 06516-3774 | 2005-06-27 |
| Street Address |
818 NW 17TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073953014 | Tim John Hagge | Social Worker | 818 Nw 17th Ave, Suite 10, Portland, OR 97209-2327 | 2013-07-03 |
| 1699039677 | Molly Pearl Owen Peters | Massage Therapist | 818 Nw 17th Ave, Suite 6, Portland, OR 97209 | 2012-06-25 |
| 1427355270 | R. M. Andrews & Associates LLC | Social Worker | 818 Nw 17th Ave, Suite 6, Portland, OR 97209-2327 | 2011-02-14 |
| 1750513487 | Robert M Andrews | Social Worker | 818 Nw 17th Ave, Suite 6, Portland, OR 97209-2327 | 2009-08-13 |
| 1053581702 | Ruth Friedel | Psychologist | 818 Nw 17th Ave, #2, Portland, OR 97209-2327 | 2008-03-10 |
| 1497893143 | Kimberly A Conrow | Counselor | 818 Nw 17th Ave, Suite 1, Portland, OR 97209-2327 | 2007-02-02 |
| 1043362163 | Lyn Mcneill Jenks | Psychologist | 818 Nw 17th Ave, Portland, OR 97209 | 2007-01-17 |
| 1316001886 | Joyce A. Korschgen, Lpc, PC | Counselor | 818 Nw 17th Ave, Suite #3, Portland, OR 97209-2327 | 2006-12-20 |
| 1275636680 | Ben Christopher Jew | Psychiatry & Neurology | 818 Nw 17th Ave, Suite #8, Portland, OR 97209-2327 | 2006-09-07 |
| 1073538021 | John Collins Flanagan | Counselor | 818 Nw 17th Ave, Suite 7, Portland, OR 97209-2327 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1811518434 | Nathaniel Israel | Psychologist | 7419 Se Woodstock Blvd, Portland, OR 97206-5838 | 2020-05-05 |
| 1477112480 | Stella Beatriz Kerl-mcclain | Psychologist | 2826 Sw Ridge Dr, Portland, OR 97219-6205 | 2019-06-12 |
| 1184281438 | Nicholas Alexander Schollars | Psychologist | 3050 Se Division St # 215, Portland, OR 97202-1451 | 2019-05-22 |
| 1639637432 | Bayside Psychology and Consulting, LLC | Psychologist | 1 Union St Ste 402, Portland, ME 04101-4048 | 2019-03-11 |
| 1942766985 | Alexandra R. Lash | Psychologist | 386 Fore St, Portland, ME 04101-4047 | 2019-02-14 |
| 1811416068 | Matthew Lundeberg | Psychologist | 10300 Sw Greenburg Rd Ste 271, Portland, OR 97223-5415 | 2017-09-19 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1093241838 | Dr Patricia Clark | Psychologist | 1132 Sw 19th Ave, Portland, OR 97205-1740 | 2017-05-11 |
| 1639527575 | Randall David Wright | Psychologist | 1827 Ne 44th Ave Ste 320, Portland, OR 97213-1443 | 2016-06-01 |
| Find all providers in PORTLAND | ||||
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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.