Rebalance Mental Health, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

REBALANCE MENTAL HEALTH, PLLC

Practice address

340 Adams St
Newaygo, MI 49337-8942

Phone

(231) 588-3362

Fax

(231) 368-6283

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Kelly BulkNPI 1033144340

Title

Owner

Phone

(231) 335-1718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Jean Bulk, PA-C

  • Physician Assistant
  • Grant, MI
  • NPI 1033144340
  Medicare reassignment Care Compare group Authorized official
• Mackenzie Rae Lewis, FNP

  • Family Nurse Practitioner
  • Big Rapids, MI
  • NPI 1457941411
  Medicare reassignment Care Compare group NPD
• Aneel Ahmed Ursani, M.D.

  • Psychiatry Physician
  • Clinton, MO
  • NPI 1982085676

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1225757552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ADAMS ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378942",
            "telephone_number": "231-588-3362",
            "fax_number": "231-368-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ADAMS ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378942",
            "telephone_number": "231-588-3362",
            "fax_number": "231-368-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "BULK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-335-1718"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Medical Group, P.C.
• Pine Medical Group, P.C.
• Pine Medical Group, P.C.
• Tyler Dee Przybylo, LMSW
• Nicole Ray
• Resilient Minds LLC
• Revive Medical Group Mi PC
• RMG Michigan PC
• Carley Christine Roberts
• Walter Gene Robinson, MA, TLLP, LLPC

• Physician Assistant in Newaygo, MI
• Providers in Newaygo, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.