DR. CLARK TILTON BALLARD JR. (NPI# 1396840427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396840427 |
| Entity Type | Individual |
| Full Name | DR. CLARK TILTON BALLARD JR. |
| Credential | M.D. |
| Practice Address |
14929 Se Allen Rd Suite 103a Bellevue WA 98006-1639 |
| Practice Telephone | 4257462124 |
| Practice Fax Number | 4257462124 |
| Mailing Telephone | 4257462124 |
| Mailing Fax Number | 4257462124 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00038103 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
14929 SE ALLEN RD SUITE 103A |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073601068 | Connie K Craig | Psychologist | 14929 Se Allen Rd, Bellevue, WA 98006-1639 | 2006-10-11 |
| 1558575399 | Joseph Z Yousefian | Dentist | 14929 Se Allen Rd, Suite 202-a, Bellevue, WA 98006-1639 | 2007-05-10 |
| 1205989209 | Claudette Santivanez Antuna | Social Worker | 14929 Se Allen Rd, Suite 102a, Bellevue, WA 98006-1639 | 2007-01-21 |
| 1396801940 | Beverly Irene Underwood | Social Worker | 14929 Se Allen Rd, Suite 102a, Bellevue, WA 98006-1639 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588062699 | Shamin Gopinath Md Pllc | Psychiatry & Neurology | 2620 Bellevue Way Ne, #128, Bellevue, WA 98004-2209 | 2014-12-05 |
| 1790023141 | Harvey Allen Ries | Psychiatry & Neurology | 13501 Ne 38th Pl, Bellevue, WA 98005-1455 | 2013-01-18 |
| 1649430125 | Ilyse Shara Rosenberg | Psychiatry & Neurology | 14205 Se 36th St Ste 100, Bellevue, WA 98006-1553 | 2008-06-10 |
| 1790962355 | Patrick T Phan | Psychiatry & Neurology | 2902 112th Ave Se, Bellevue, WA 98004-7528 | 2008-01-25 |
| 1902092182 | Patricia L Paddison, Md, Pllc | Psychiatry & Neurology | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2007-09-20 |
| 1740482066 | Albert Frederick Tsai | Psychiatry & Neurology | 1750 112th Ave Ne Ste B102, Bellevue, WA 98004-3772 | 2007-05-31 |
| 1558483818 | Carol Louise Perkins | Psychiatry & Neurology | 1309 114th Ave Se Ste 316, Bellevue, WA 98004-6903 | 2007-04-05 |
| 1134241888 | Arifulla - Khan | Psychiatry & Neurology | 1900 116th Ave Ne, Bellevue, WA 98004-3052 | 2007-04-04 |
| 1730200833 | Mehri D Moore | Psychiatry & Neurology | 400 108th Ave Ne, Suite 402, Bellevue, WA 98004-5562 | 2007-04-03 |
| 1861517989 | Kathleen P Decker | Psychiatry & Neurology | 40 Lake Bellevue Dr Ste 100, Bellevue, WA 98005-2480 | 2007-03-20 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on DR. CLARK TILTON BALLARD JR..
| 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.