DR. ELENA A. BALZAC PH.D.
NPI 1235275868
Clinical Neuropsychologist in Brookline, MA
NPI Status: Active since January 30, 2007
Contact Information
1419 BEACON ST
SUITE 33
BROOKLINE, MA
ZIP 02446
Phone: (617) 792-8761
- Individual
- Female
- Clinical Neuropsychologist
- Accepts Insurance
- Opted-Out Medicare
About ELENA BALZAC
This page provides the complete NPI Profile along with additional information for Elena Balzac, a provider established in Brookline, Massachusetts with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1235275868 assigned on January 2007. The practitioner's primary taxonomy code is 103G00000X with license number 7425 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1235275868
- Provider Name
- DR. ELENA A. BALZAC PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1419 BEACON ST SUITE 33 BROOKLINE, MA 02446
- Location Phone
- (617) 792-8761
- Mailing Address
- 1419 BEACON ST SUITE 33 BROOKLINE, MA 02446
- Mailing Phone
- (617) 792-8761
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-30-2007
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Elena Balzac opted out of Medicare effective on 04-11-2024 until 04-11-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7425
- License State
- MA
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| W05787 | OTHER (01) | MA | BLUE CROSS BLUE SHIELD |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-11-2024
Opt-Out End Date: 04-11-2026
Eligible to Order and Refer? No
Reviews for DR. ELENA A. BALZAC PH.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 2 | 7 | 5 | 8 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 4 | 7 | 10 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 4 + 7 + 1 + 0 + 8 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1235275868 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730132846 | JONATHAN BRUSH PHD Individual | Psychologist | 1419 BEACON ST SUITE 13 BROOKLINE, MA 02446 (617) 277-4300 |
| 1427095660 | REGINA KOZIYEVSKAYA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1419 BEACON ST SUITE 35 BROOKLINE, MA 02446 (617) 232-2062 |
| 1124065768 | DR. GARY N GOLDSMITH M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1419 BEACON ST BROOKLINE, MA 02446 (617) 731-6888 |
| 1871534396 | DR. HONOR ELIZABETH MCCLELLAN PH.D. Individual | Psychologist (Counseling) | 1419 BEACON ST SUITE 32 BROOKLINE, MA 02446 (617) 739-2828 |
| 1962412833 | DR. AMY ANN SWEIGENBERG PSYD Individual | Psychologist (Clinical) | 1419 BEACON ST SUITE #14 BROOKLINE, MA 02446 (617) 734-4883 |
| 1689761421 | DR. KIMBERLY RAWLINS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1419 BEACON ST BROOKLINE, MA 02446 (617) 834-2092 |
| 1811064546 | GUAN R HOU LIC. AC. Individual | Acupuncturist | 1419 BEACON ST BROOKLINE, MA 02446 (617) 975-3813 |
| 1053471375 | MS. LAUREN SUE BERLY LICSW Individual | Social Worker (Clinical) | 1419 BEACON ST SUITE 31 BROOKLINE, MA 02446 (617) 731-8783 |
| 1770648701 | DR. MARY F O'NEILL PH.D. Individual | Counselor (Mental Health) | 1419 BEACON ST SUITE 11 BROOKLINE, MA 02446 (617) 739-0454 |
| 1124185426 | DR. MARCIA E FISCH M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1419 BEACON ST BROOKLINE, MA 02446 (617) 734-4827 |
| 1841338258 | DR. PETER MARTIN CHUBINSKY MD Individual | Psychiatry & Neurology (Psychiatry) | 1419 BEACON ST SUITE 34 BROOKLINE, MA 02446 (617) 232-8032 |
| 1003959990 | DR. RISA M WEINRIT PSY.D. Individual | Psychologist (Clinical) | 1419 BEACON ST BROOKLINE, MA 02446 (617) 566-4230 |
| 1881898500 | DR. CLAUDETTE B PIERRE PH.D. Individual | Psychologist | 1419 BEACON ST SUITE 17 BROOKLINE, MA 02446 (617) 277-6280 |
| 1700038320 | RIMMA KOVALCIK,PSY.D. P.C. Organization | Clinical Neuropsychologist | 1419 BEACON ST BROOKLINE, MA 02446 (617) 731-4081 |
| 1194089607 | KARINA BALKH LMHC Individual | Counselor (Mental Health) | 1419 BEACON ST 27 BROOKLINE, MA 02446 (617) 834-8084 |
| 1083688774 | DR. RAFAEL D ORNSTEIN MD Individual | Psychiatry & Neurology (Psychiatry) | 1419 BEACON ST #23 BROOKLINE, MA 02446 (617) 734-2128 |
| 1699945832 | DR. CLAUDIA M. TOTH PSY.D. Individual | Psychologist | 1419 BEACON ST BROOKLINE, MA 02446 (617) 903-8684 |
| 1700803764 | DR. JANET TARIKA SOBIERAJ JANET SOBIERAJ, M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1419 BEACON ST BROOKLINE, MA 02446 (617) 969-1254 |
| 1013987601 | PERRY LEE BELFER PH.D. Individual | Psychologist (Clinical) | 1419 BEACON ST BROOKLINE, MA 02446 (857) 260-6484 |
| 1538643085 | MARY LOU KAUFMAN LICSW Individual | Social Worker (Clinical) | 1419 BEACON ST BROOKLINE, MA 02446 (617) 990-4139 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235275868, enumerated in the NPI registry as an "individual" on January 30, 2007
The provider is located at 1419 Beacon St Suite 33 Brookline, Ma 02446 and the phone number is (617) 792-8761
The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on April 11, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 11, 2026.
This NPI record was last updated on January 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.