Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lutissua D Ballard, PSYD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1093135659

Dr. Lutissua D Ballard, PSYD is a Clinical Psychologist in Green Valley, Arizona. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2014
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

210 W Continental Rd Ste 229
Green Valley, AZ 85622-3596
Phone: (520) 329-1579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4480 (AZ)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 4480 (AZ)

Record details

NPI number1093135659
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 22, 2014
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount