Search › Connecticut › 207ZP0102X
Samuel Ballentine, MD
NPI 1881038735 · on the registry since 2013
Practice
- Address
- 1290 Silas Deane Hwy Ste 101
Wethersfield, CT 06109 - Phone
- (860) 859-9061
- Fax
- (860) 889-6200
- Organisation at this address
- Key Human Services, Inc.
Key Human Services, Inc.
Hartford Healthcare At Home, Inc
Hartford Healthcare At Home, Inc
Patient Care Behavioral Health, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 1 Barnes Jewish Hospital Plz, Saint Louis, MO
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut