Inner Balance Psychotherapy Services LTD

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INNER BALANCE PSYCHOTHERAPY SERVICES LTD

Practice address

561 W Diversey Pkwy
Suite 210
Chicago, IL 60614-6068

Phone

(773) 244-9620

Fax

(773) 244-9622

NPI assigned

Oct 15, 2007

Last updated

Jan 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Wang, L.C.S.W.NPI 1114014107

Title

President

Phone

(773) 244-9620

Specialties & licenses 1

Addresses

Locations

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.

• Jennifer Wang, L.C.S.W

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1114014107
  Authorized official Same address or phone

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389484800000",
    "number": "1154510279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146068",
            "telephone_number": "773-244-9620",
            "fax_number": "773-244-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146068",
            "telephone_number": "773-244-9620",
            "fax_number": "773-244-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE PSYCHOTHERAPY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2014-01-12",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-244-9620",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Initium Inc.
• Inkwell Psychotherapy
• Inna Goldberg OD PC
• Inner Arts, Inc
• Inner Balance Counseling
• Inner Balance Therapy
• Inner Choice Psychotherapy
• Inner Connections Therapy, PLLC
• Inner G Restorative & Holistic Care (Inner G Health)
• Inner Haven Therapy and Wellness PLLC

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2014; 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.