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MARY BETH BALLE PMHCNS-BC RN NPI 1841575735


NPI Information

NPI: 1841575735
Provider Name: MARY BETH BALLE, PMHCNS-BC, RN
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

PECOS Registration: Yes

Address:
350 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 335-2434
Get Directions

Mary Beth Balle, PMHCNS-BC, RN is a psychiatric/mental health and child and adolescent clinical nurse specialist in Bloomington, IN. Mary Beth Balle, PMHCNS-BC, RN NPI is 1841575735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-001
Phone: (812) 335-2434
Fax: (812) 335-7604

The NPI 1841575735 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2011 and was last updated on 12/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0807XClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent71003908AINDIANAYes
2163W00000XRegistered Nurse28160285AINDIANANo
3163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent2010016860INDIANANo
4364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health71003908AINDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.