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Blue Balloon MD LLC

NPI 1386212157ActiveOrganization· Psychologist· Owings Mills, MD

Psychologist in Owings Mills, Maryland, registered in NPPES in June 2021. The authorized official on file is David Sussman, Coo.

Overview

NPI1386212157
StatusActive
Entity typeOrganization
NPI issuedJun 16, 2021
Last updated in NPPESJun 18, 2021
Certified by providerJun 18, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——
Social Worker, Clinical1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist providers in Owings Mills

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