BALANCED PSYCHOLOGY SERVICES


Address: 2777 Jefferson St Ste 203, Carlsbad, CA 92008-1743
Phone: 7603858426

BALANCED PSYCHOLOGY SERVICES (NPI# 1518527258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518527258
Entity Type Organization
Organization Name BALANCED PSYCHOLOGY SERVICES
Practice Address 2777 Jefferson St Ste 203
Carlsbad
CA 92008-1743
Mailing Address 560 Moonlight Dr
San Marcos
CA 92069-2067
Practice Telephone 7603858426
Enumeration Date 2019-06-15
Last Update Date 2019-06-15
Authorized Official Name DR. KELSEY MICHAEL BRADSHAW (PSYCHOLOGIST / PRESIDENT)
Authorized Official Telephone 2083109884
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 2777 JEFFERSON ST STE 203
City CARLSBAD
State CA
Zip Code 92008-1743

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1184111684 Brittany Lauren Cheatham Nurse Practitioner 345 Walnut Ave, Carlsbad, CA 92008 2018-04-19
1770092843 Michele Laporte Downey Counselor 2910 Jefferson St, Suite 100, Carsbad, CA 92008 2017-09-21
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1336690395 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 2559 Camino Real Rd, Carlsbad, CA 92008 2016-10-14
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1912362112 Brooke Ann Bellomio Psychologist 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 2015-12-15
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053950634 Kathleen Kawamura Psychologist 2604-b El Camino Real, #405, Carlsbad, CA 92008-1205 2019-12-31
1912362112 Brooke Ann Bellomio Psychologist 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 2015-12-15
1558772772 Tulsi Milliken Psychologist 6813 Briarwood Dr, Carlsbad, CA 92011-3925 2014-05-09
1215355227 Judy Weiss Psychologist 6663 Sitio Palmas, Carlsbad, CA 92009-5919 2014-04-07
1881015733 Ted Shore Psychologist 3295 Avenida Anacapa, Carlsbad, CA 92009-9301 2013-12-19
1225398696 Melissa Mckeown Jenkins Psychologist 1265 Carlsbad Village Dr Ste 210c, Carlsbad, CA 92008-1972 2012-05-20
1306103098 Angela Sue Klein Psychologist 2683 State St, Carlsbad, CA 92008-1627 2012-04-18
1699009308 Robert William Mcalister Jr. Psychologist 2541 State St Ste 112, Carlsbad, CA 92008-1679 2009-09-28
1902039555 Nichole Antoinette Duarte Psychologist 2382 Faraday Ave Ste 250-12, Carlsbad, CA 92008-7218 2009-08-31
1750523858 Elizabeth Bigham Psychologist 701 Palomar Airport Rd, Suite 300, Carlsbad, CA 92011-1027 2009-04-03
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Competitor

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City CARLSBAD
Zip Code 92008

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Dataset Information

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.

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