MS. MAYNON MICHELLE BALLOW


Address: 4209 Mckinney Avenue Suite 202-c, Dallas, TX 75207
Phone: 2146418885

MS. MAYNON MICHELLE BALLOW (NPI# 1801226634) 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) 1801226634
Entity Type Individual
Full Name MS. MAYNON MICHELLE BALLOW
Credential CLINICAL NUTRITION/B
Practice Address 4209 Mckinney Avenue Suite 202-c
Dallas
TX 75207
Mailing Address 4707 Purdue Avenue
Dallas
TX 75209
Practice Telephone 2146418885
Enumeration Date 2013-11-14
Last Update Date 2013-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
TX Dietary & Nutritional Service Providers
Y 103TH0004X Psychologist
Specialization: Health
TX Behavioral Health & Social Service Providers

Office Location

Street Address 4209 MCKINNEY AVENUE SUITE 202-C
City DALLAS
State TX
Zip Code 75207

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NPI Name Taxonomy Address Enumeration
1750916045 Connor Thomas Hughes Student in an Organized Health Care Education/Training Program Utsw, 14549 Ut Southwestern Dr, Dallas, TX 75207 2020-03-06
1851758049 Allison Baxter Ondocsin Counselor 2600 N. Stemmons Fwy, Suite 151, Dallas, TX 75207 2016-01-20
1598031296 Ming Yang Pediatrics 2350 N Stemmons Fwy Ste 4400, Dallas, TX 75207 2012-03-27
1306165030 Strategic Laboratory Services, LLC Clinical Medical Laboratory 2029 E Levee St, Dallas, TX 75207 2010-05-20
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1740426683 Bishop Home Healthcare Home Health 2730 North Stemmons, Suite 100, Dallas, TX 75207 2008-12-24
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1548465545 Christina E Norris Nurse Practitioner 111 Commerce Street, Dallas County Jail/lew Sterrett Justice Center North To, Dallas, TX 75207 2007-06-19
1053533950 Donna Greenman Registered Nurse 2600 N Stemmon Ste 151, Dallas, TX 75207 2007-05-02
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Taxonomy Information

Taxonomy Code 103TH0004X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health

Taxonomy Definition

The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care.
Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952745028 Ross Stewart Psychologist 14180 Dallas Pkwy Ste 520, Dallas, TX 75254-1334 2013-04-19
1508405663 Maria Mollica Psychologist 8200 Walnut Hill Ln, Dallas, TX 75231-4426 2020-01-06
1164905212 Lauren Elizabeth Cox Psychologist 2222 Welborn St, Dallas, TX 75219-3924 2018-09-13
1710334107 Serina Huerta Psychologist 4500 S Lancaster Rd, Dallas, TX 75216-7167 2016-05-16
1669744330 Heather M. Richard Psychologist 2222 Welborn Street, Dallas, TX 75219-3924 2012-01-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326501461 Rebecca Bridgefarmer Psychologist 415 Whitney Dr, Nevada, TX 75173-8344 2019-04-06
1720274186 Debra J Archuleta Psychologist 8800 Village Dr Ste 209, San Antonio, TX 78217-5420 2007-09-19
1972167161 Jordan Ellis Psychologist 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, TX 78236 2019-04-24
1659893816 Desire Shenay Taylor Psychologist 4708 Alliance Blvd Ste 700, Plano, TX 75093-5317 2017-07-10
1467800300 Psymed Health Psychologist 2014 Ben Merritt Dr, Suite A, Decatur, TX 76234-3850 2016-06-01
1003275298 Michael Chatterton Psychologist 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234 2016-02-16
1750708863 John Anthony Blue Star Psychologist 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 2014-03-26
1083047112 Rose A Gonzalez Psychologist 2002 Holcombe Blvd, Houston, TX 77030-4211 2013-08-13
1679757173 Gerald Wayne Talcott Psychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2007-12-20

Competitor

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City DALLAS
Zip Code 75207

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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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