Hollibalance Well-Being Center LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

HOLLIBALANCE WELL-BEING CENTER LLC

Practice address

101 Federal St FL 19
Boston, MA 02110-1817

Phone

(617) 344-1441

Fax

(617) 206-3889

NPI assigned

May 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yi SongNPI 1053488791

Title

Director

Phone

(617) 344-1441

Specialties & licenses 5

Addresses

Locations

Practitioners 1

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

• Yi Song, LIC. AC.

  • Acupuncturist
  • Boston, MA
  • NPI 1053488791
  NPD Authorized official

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1235397670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 CENTRE ST UNIT 320594",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021320223",
            "telephone_number": "617-344-1441",
            "fax_number": "617-206-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FEDERAL ST FL 19",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101817",
            "telephone_number": "617-344-1441",
            "fax_number": "617-206-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIBALANCE WELL-BEING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-31",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-344-1441",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "303",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "223246",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "3483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Hollembaek
• Brian L Hollenbeck, MD
• Anthony Hollenberg, M.D.
• Marie A Hollenhorst, MD, PHD
• Elizabeth Ann Holleran, MSW
• Brian Lewis Holliday, PA-C
• Ryan Patrick Hollien, DC
• Benjamin E Hollingsworth, NP
• Helen M Hollingsworth, M.D.
• Eyvonne Hollins

• Licensed Practical Nurse in Boston, MA
• Providers in Boston, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.