Organization Active NPI

Joyful Balance Holistic Healing PLLC

  • Primary Care Clinic/Center
  • Bridgton, ME
National Provider Identifier
1104605153
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JOYFUL BALANCE HOLISTIC HEALING PLLC
Practice address
171 Portland Rd Ste 4
Bridgton, ME 04009-4259
Phone
(207) 803-8888
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Erinn Heather Wright, MDNPI 1003887514
Title
Owner, Physician
Phone
(207) 803-8888

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

171 Portland Rd Ste 4
Bridgton, ME 04009-4259

Mailing address

PO Box 282
Bridgton, ME 04009-0282
Phone (207) 803-8888

Other names 1

  • Joyful Balance Holistic Healing PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124001690 ME Part B Supplier - Clinic/Group Practice 7911350137 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgton, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2294593Joyful Balance Holistic Healing171 Portland Road, Bridgton, ME 04009Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

Locations

171 Portland Rd
Ste 4
Bridgton, ME 04009
Phone (207) 705-5715

Practitioners & affiliated clinicians

Practitioners 1

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": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1104605153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040090282",
            "telephone_number": "207-803-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 PORTLAND RD STE 4",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094259",
            "telephone_number": "207-803-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL BALANCE HOLISTIC HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ERINN",
        "authorized_official_middle_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "207-803-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joyful Balance Holistic Healing PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.