- Practice location
- 1220 Dewey Ave, Wauwatosa, WI 53213
- Phone
- 414-454-6600
- Fax
- 414-454-6766
- Last updated
- November 22, 2021
Nicole Ballinger is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Wauwatosa, WI. Nicole Ballinger practices in Wauwatosa, WI and has the professional credentials of DO. The NPI Number for Nicole Ballinger is 1104914951 and holds a License No. 52794-021 (WI). The current practice location address for Nicole Ballinger is 1220 Dewey Ave, Wauwatosa, WI 53213 and can be reached out via phone at 414-454-6600 and via fax at 414-454-6766.
Provider Profile Details
- NPI Number
- 1104914951
- Provider Name
- Nicole Ballinger
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1220 Dewey Ave, Wauwatosa, WI 53213
- Phone Number
- 414-454-6600
- Fax Number
- 414-454-6766
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 10, 2006
- Last Update Date
- November 22, 2021
- Certification Date
- November 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1220 Dewey Ave
Wauwatosa, WI 53213 - City
- Wauwatosa
- State
- Wisconsin
- Zip
- 53213
- Phone Number
- 414-454-6600
- Fax Number
- 414-454-6766
Provider Business Mailing Address Details
- Address
- 1220 Dewey Ave
Wauwatosa, WI 53213-2504 - City
- Wauwatosa
- State
- WI
- Zip
- 53213-2504
- Phone Number
- 414-454-6600
- Fax Number
- 414-454-6766
License Information
- License Number (1)
- 52794-021
- License State (1)
- WI
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 52794-021
- License State (2)
- WI
- Taxonomy (2)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Nicole Ballinger, DO?
The NPI number of Dr. Nicole Ballinger, DO is 1104914951. It was assigned on October 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Nicole Ballinger, DO?
Dr. Nicole Ballinger, DO is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in WI under license number 52794-021.
Where does Dr. Nicole Ballinger, DO practice?
The practice location is 1220 Dewey Ave, Wauwatosa, WI 53213. The office can be reached at 414-454-6600 (phone) or 414-454-6766 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104914951 directly on the NPPES registry website.