Balance Psychiatry and Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BALANCE PSYCHIATRY AND WELLNESS LLC

Practice address

142 E Gore St
Orlando, FL 32806-1223

Phone

(307) 388-0400

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Briane Olson, APRN, PMHNP-BCNPI 1316377997

Title

Owner

Phone

(307) 388-0400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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

• Todd Broder, M.D.

  • Psychiatry Physician
  • St Augustine, FL
  • NPI 1699849349
  Medicare reassignment Care Compare group NPD
• Briane Olson, RN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bartow, FL
  • NPI 1316377997
  Medicare reassignment NPD Authorized official
• Hannah Elizabeth Phillips, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maitland, FL
  • NPI 1881035178
  Medicare reassignment Care Compare group NPD
• Susan Kessler, A.R.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1508900895
  Medicare reassignment NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1063256089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061223",
            "telephone_number": "307-388-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061223",
            "telephone_number": "307-388-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE PSYCHIATRY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BRIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-388-0400",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fareea C Baksh, CAA
• Nazeeka Baksh, PA
• Jayanthi Balachandran, M.D.
• Balance Massage and Structural Bodywork
• Balance Orlando Chiropractic Corp
• Balanced Life Counseling & Coaching
• Balanced Mind Behavioral Services, Corp.
• Ramya Balapa, LMHC
• Efren Gonzalo Cesar Balbin, ARNP
• Jeremiahdominic Balbin, MD

• Psychiatry Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.