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KAYLA BALCOM PHD NPI 1962077453


NPI Information

NPI: 1962077453
Provider Name: KAYLA BALCOM, PHD
Classification: Psychologist - 103TE1100X
Entity Type: Individual

Specialization: Exercise & Sports

Address:
2721 WILLIAMSBURG WAY
DECATUR, GA
ZIP 30034
Phone: (208) 681-8989
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Kayla Balcom, PHD is an exercise and sports psychologist in Decatur, GA. The provider is a psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Kayla Balcom, PHD NPI is 1962077453. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2721 WILLIAMSBURG WAY
DECATUR, GA
ZIP 30034-310
Phone: (208) 681-8989

The enumeration date for this NPI number is 5/26/2021 and was last updated on 5/26/2021.


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
1103TC1900XPsychologistCounselingPSY004384GEORGIANo
2103TE1100XPsychologistExercise & SportsPSY004384GEORGIAYes

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.