NPIMap

Organization Active NPI

A Balanced Path, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1194954370
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
005998 Issued in NM
Legal business name
A BALANCED PATH, LLC
Practice address
4300 Silver Ave SE Ste F
Albuquerque, NM 87108-2748
Phone
(505) 255-1804
Fax
(505) 265-4446
NPI assigned
Jul 8, 2009
Last updated
Jul 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Mr. Roy White Eagle, LADACNPI 1376962225
Title
Owner
Phone
(505) 255-1804

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
Community/Behavioral Health Agency 251S00000X 005998 NM Primary

Addresses

Primary practice location

4300 Silver Ave SE Ste F
Albuquerque, NM 87108-2748

Mailing address

4300 Silver Ave SE Ste F
Albuquerque, NM 87108-2748
Phone (505) 255-1804

National Provider Directory

National Provider Directory

Locations

4300 Silver Ave SE
Ste F
Albuquerque, NM 87108
Phone (505) 255-1804

Practitioners & affiliated clinicians

Practitioners 7

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": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1194954370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SILVER AVE SE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082748",
            "telephone_number": "505-255-1804",
            "fax_number": "505-265-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SILVER AVE SE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082748",
            "telephone_number": "505-255-1804",
            "fax_number": "505-265-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BALANCED PATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "WHITE EAGLE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-255-1804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "005998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.