DR. TABITHA DELAINA BALL PH.D. NPI 1710212196

NPI Information

NPI: 1710212196
Provider Name: DR. TABITHA DELAINA BALL, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

PECOS Registration: Yes

Address:
1001 VIRGINIA AVE STE 210
HAPEVILLE, GA
ZIP 30354
Phone: (404) 218-8657
Get Directions

DR. Tabitha Delaina Ball, PH.D. is a cognitive and behavioral psychologist in Hapeville, GA with 15 years of experience. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Tabitha Delaina Ball, PH.D. NPI is 1710212196. 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:

1001 VIRGINIA AVE STE 210
HAPEVILLE, GA
ZIP 30354-367
Phone: (404) 218-8657

The NPI 1710212196 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.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 9/28/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		0810004529	VIRGINIA	No
2	103T00000X	Psychologist		PSY003839	GEORGIA	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	PSY003839	GEORGIA	No
4	103TB0200X	Psychologist	Cognitive & Behavioral			Yes

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
1	003183738C	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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