SHEILA A. BALOG PH.D. PC NPI 1033250873

NPI Information

  • NPI: 1033250873
  • Provider Name: SHEILA A. BALOG, PH.D., PC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 55 JONESBORO ST
    MCDONOUGH, GA
    ZIP 30253
  • Phone: (678) 583-4975

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NPI Details

SHEILA A. BALOG, PH.D., PC is a mental health (including community mental health center) clinic center in Mcdonough, GA. SHEILA A. BALOG, PH.D., PC NPI is 1033250873. The provider is registered as an organization entity type.

The provider's business location address is:

55 JONESBORO ST
MCDONOUGH, GA
ZIP 30253-164
Phone: (678) 583-4975

The provider's authorized official is Sheila A Balog .
The authorized official title is President and has the following contact phone number (678) 583-4975.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)PSY2369GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100857073CMEDICAIDGEORGIA

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: 3/30/2025

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