Organization Active NPI

Balanced Perspectives Psychological Services, LLC

  • Psychologist
  • Westerville, OH
National Provider Identifier
1083167076
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6648 Issued in OH
Legal business name
BALANCED PERSPECTIVES PSYCHOLOGICAL SERVICES, LLC
Practice address
550 S Cleveland Ave Ste G1
Westerville, OH 43081-8958
Phone
(614) 808-3632
Fax
(614) 452-6188
NPI assigned
Jul 26, 2016
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Dr. Ann Marie Hetzel, PH.D.NPI 1922327105
Title
Psychologist
Phone
(484) 547-1078

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Psychologist 103T00000X 6648 OH Primary

Addresses

Primary practice location

550 S Cleveland Ave Ste G1
Westerville, OH 43081-8958

Mailing address

691 Westray Dr
Westerville, OH 43081-7701
Phone (484) 547-1078

Other practice location 1

691 Westray Dr
Westerville, OH 43081-7701
Phone (614) 808-3632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002001086 OH Part B Supplier - Clinic/Group Practice 8921452533 Receives reassigned benefits from 1 practitioner
Practice locations: Gahanna, OH; Westerville, OH

National Provider Directory

National Provider Directory
Tax ID family
Ann M Hetzel2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

550 S Cleveland Ave
Ste G1
Westerville, OH 43081
Phone (614) 808-3632

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1083167076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 WESTRAY DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817701",
            "telephone_number": "484-547-1078",
            "fax_number": "614-452-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S CLEVELAND AVE STE G1",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818958",
            "telephone_number": "614-808-3632",
            "fax_number": "614-452-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "691 Westray Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430817701",
            "country_code": "US",
            "telephone_number": "614-808-3632",
            "fax_number": "614-452-6188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED PERSPECTIVES PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "HETZEL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "484-547-1078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.