Active NPI
Balance Behavioral Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Derby, KS
National Provider Identifier
1104794676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BALANCE BEHAVIORAL HEALTH LLC
- Practice address
- 1721 E Osage Rd Ste 300
Derby, KS 67037-2290 - Phone
- (316) 519-8662
- NPI assigned
- Oct 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie McClellan, PMHNP-C
- Title
- Owner/Provider
- Phone
- (316) 519-8662
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1721 E Osage Rd Ste 300
Derby, KS 67037-2290
Mailing address
1721 E Osage Rd Ste 300
Derby, KS 67037-2290
Phone (316) 519-8662
National Provider Directory
National Provider DirectoryLocations
1721 E Osage Rd
Ste 300
Derby, KS 67037
Phone (316) 247-3161
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
- NPI 1588912828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1104794676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 E OSAGE RD STE 300",
"city": "DERBY",
"state": "KS",
"postal_code": "670372290",
"telephone_number": "316-519-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 E OSAGE RD STE 300",
"city": "DERBY",
"state": "KS",
"postal_code": "670372290",
"telephone_number": "316-519-8662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "MCCLELLAN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "316-519-8662",
"authorized_official_credential": "PMHNP-C"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.