MS. BRIDGETT BALLISTY (NPI# 1356697254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356697254 |
| Entity Type | Individual |
| Full Name | MS. BRIDGETT BALLISTY |
| Practice Address |
7877 Wren Ave Suite A Gilroy CA 95020-4980 |
| Mailing Address |
230 E Dunne Ave Apt #1322 Morgan Hill CA 95037-4654 |
| Practice Telephone | 4089056594 |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2013-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
7877 WREN AVE SUITE A |
| City | GILROY |
| State | CA |
| Zip Code | 95020-4980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790115301 | Mitchell Ted Koufos | Counselor | 7877 Wren Ave, Gilroy, CA 95020-4980 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366067316 | Christine Michele Morris | Counselor | 8352 Church St Ste E, Gilroy, CA 95020-4449 | 2020-06-15 |
| 1508241381 | Yarely Moreno | Counselor | 9015 Murray Avenue # 100, Gilroy, CA 95020 | 2015-07-22 |
| 1447534011 | Mengdan Zhang | Counselor | 7686 Hackett Dr, Gilroy, CA 95020-2647 | 2011-09-30 |
| 1548579329 | Charice Nealyn Mabry | Counselor | 290 I.o.o.f Avenue, Gilroy, CA 95020 | 2010-09-28 |
| 1366766545 | Rosa Perez | Counselor | 6890 Chestnut Steet, Gilroy, CA 95020 | 2010-03-17 |
| 1952541856 | Jose R Arreguin | Counselor | 6980 Chesnut St, Gilroy, CA 95020 | 2009-03-05 |
| 1568600856 | Eileen Sankey | Counselor | 1475 Dovetail Way, Gilroy, CA 95020 | 2009-01-26 |
| 1366696478 | Maria Bueltron | Counselor | 6890 Chestnut St, Gilroy, CA 95030 | 2008-11-17 |
| 1043469653 | Edgar Gomez | Counselor | 6890 Chestnut St., Gilroy, CA 95030 | 2008-09-18 |
| 1447413554 | Rodrigo Perez | Counselor | Rebekah Children's Services, 290 Ioof Ave., Gilroy, CA 95020 | 2008-07-08 |
| Find all providers in GILROY | ||||
Please comment or provide details below to improve the information on MS. BRIDGETT BALLISTY.
| 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.