Organization Active NPI

Inner Balance Behavioral Health

  • Clinic/Center
  • Blaine, MN
National Provider Identifier
1013712215
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INNER BALANCE BEHAVIORAL HEALTH
Practice address
2970 129TH LN NE
Blaine, MN 55449-0016
Phone
(763) 226-6148
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suad M Rashid
Title
Owner
Phone
(763) 226-6148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2970 129TH LN NE
Blaine, MN 55449-0016

Mailing address

2970 129TH LN NE
Blaine, MN 55449-0016
Phone (763) 226-6148

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1013712215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 129TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554490016",
            "telephone_number": "763-226-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 129TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554490016",
            "telephone_number": "763-226-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "SUAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-226-6148"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.