NPI 1649189150 · live from the CMS NPI Registry
Ballast Behavioral Health Group PLLC
Psychologist, Clinical in Bartlett, TN. National Provider Identifier 1649189150, active.
NPI record
| NPI | 1649189150 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3051 Kirby Whitten Rd Ste 5, Bartlett, TN 38134 |
| Practice phone | 901-440-0989 |
| Enumerated | September 2, 2026 |
| Last updated | September 2, 2026 |
| Authorized official | Jesse Malott, Founding Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.