TAKIYSHA MCLEOD-BALLARD NPI 1073974143

NPI Information

  • NPI: 1073974143
  • Provider Name: TAKIYSHA MCLEOD-BALLARD
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 726 QUINCY ST FL 4
    BROOKLYN, NY
    ZIP 11221
  • Phone: (347) 826-6167

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NPI Details

Takiysha Mcleod-ballard is a psychiatric/mental health nurse practitioner in Brooklyn, NY. Takiysha Mcleod-ballard NPI is 1073974143. 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:

726 QUINCY ST FL 4
BROOKLYN, NY
ZIP 11221-210
Phone: (347) 826-6167
Fax: (917) 397-3520

The NPI 1073974143 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 3/16/2016 and was last updated on 4/30/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health401983NEW YORKYes

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: 11/21/2025

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