MR. DAVID SHAWN BALICKI LMFT
NPI 1720372774
Marriage & Family Therapist in San Jose, CA
NPI Status: Active since June 07, 2011
Contact Information
96 S 14TH ST
SAN JOSE, CA
ZIP 95112
Phone: (408) 261-7777
Fax: (408) 642-6052
- Individual
- Male
- Marriage & Family Therapist
- PECOS Enrolled
About DAVID BALICKI
This page provides the complete NPI Profile along with additional information for David Balicki, a provider established in San Jose, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1720372774 assigned on June 2011. The practitioner's primary taxonomy code is 106H00000X with license number 87584 (CA). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1720372774
- Provider Name
- MR. DAVID SHAWN BALICKI LMFT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 96 S 14TH ST SAN JOSE, CA 95112
- Location Phone
- (408) 261-7777
- Location Fax
- (408) 642-6052
- Mailing Address
- 1922 THE ALAMEDA SAN JOSE, CA 95126
- Mailing Phone
- (408) 483-0439
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-07-2011
- Last Update Date
- 06-03-2025
- Code Navigator
A marriage and family therapist like David Balicki help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
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
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 87584
- License State
- CA
- Taxonomy Description
- A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Medicare Participation & PECOS Enrollment Status
David Balicki is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MR. DAVID SHAWN BALICKI LMFT
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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 | 7 | 2 | 0 | 3 | 7 | 2 | 7 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 6 | 7 | 4 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 6 + 7 + 4 + 7 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1720372774 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093227704 | ELIZABETH JOLIVET Individual | Specialist | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1902322415 | ESTEVAN GILBERTO GONZALES Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3298 |
| 1770708521 | MOMENTUM FOR HEALTH Organization | Psychologist | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1952089864 | ITAMAR RAMON Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1255588182 | MR. LEONARD DALIAN RIDEAU III Individual | Counselor (Mental Health) | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1003322462 | SERENITY MARIE ELIAS-VASQUEZ Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1184752693 | VIRGINIA PACHECO Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1548098718 | KHANG NGUYEN Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1912032277 | MS. VICKY MOKEH SYLVA Individual | Licensed Psychiatric Technician | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1275365371 | CHUKWUNENYE ONYEKACHI NWOKORO Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1992522239 | HELP OLADEJI Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1811491806 | JASMIN ADELITA VILLA-CAMPOS Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1689400095 | MISHA KAPADIA Individual | Marriage & Family Therapist | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1033619143 | JOYCELYNN GREEN Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-3293 |
| 1851644298 | UWA IGWE-KALU Individual | Case Manager/Care Coordinator | 96 S 14TH ST SAN JOSE, CA 95112 (408) 998-7777 |
| 1790107027 | MARTHA RAMIREZ Individual | Rehabilitation Practitioner | 96 S 14TH ST SAN JOSE, CA 95112 (408) 261-7777 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720372774, enumerated in the NPI registry as an "individual" on June 07, 2011
The provider is located at 96 S 14th St San Jose, Ca 95112 and the phone number is (408) 261-7777
The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on June 07, 2011. 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].
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