Organization Active NPI

Balanced Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Stratford, CT
National Provider Identifier
1043688955
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11314589 Issued in CT
Legal business name
BALANCED BEHAVIORAL HEALTH, LLC
Practice address
80 Ferry Blvd
Suite 105
Stratford, CT 06615
Phone
(305) 495-7230
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Ms. Cristina Guazzelli, BCBANPI 1861876740
Title
Owner
Phone
(475) 210-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11314589 CT Primary

Addresses

Primary practice location

80 Ferry Blvd
Suite 105
Stratford, CT 06615

Mailing address

80 Ferry Blvd
Suite 105
Stratford, CT 06615
Phone (475) 210-9988

National Provider Directory

National Provider Directory

Locations

80 Ferry Blvd
Ste 105
Stratford, CT 06615
Phone (203) 772-9906

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1043688955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FERRY BLVD",
            "address_2": "SUITE 105",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "475-210-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FERRY BLVD",
            "address_2": "SUITE 105",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "06615",
            "telephone_number": "305-495-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "GUAZZELLI",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-210-9988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "11314589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.