Balanced Connections LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BALANCED CONNECTIONS LLC

Practice address

450 N Seymour Ave
Mundelein, IL 60060-1835

Phone

(224) 292-8833

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By 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

Dr. Luke Mudd, PSYDNPI 1033763644

Title

Psychologist

Phone

(224) 292-8833

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Luke Anthony Mudd, PSYD

  • Psychologist
  • Chicago, IL
  • NPI 1033763644
  NPD Authorized official
• Kim C Rubenstein, PSY.D.

  • Psychologist
  • Grayslake, IL
  • NPI 1487374856
  NPD

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1235775602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 CROSS ARM DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302762",
            "telephone_number": "224-292-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N SEYMOUR AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601835",
            "telephone_number": "224-292-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Cross Arm Dr",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302762",
            "country_code": "US",
            "telephone_number": "224-292-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "MUDD",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "224-292-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Arvidson
• Senen Ramon V Asuan, D.D.S
• Alexis Elisabeth Bachmann, CCC-SLP
• Pamela Denise Baker, MA, LCPC
• Joana Baku, DDS
• Charissa Balbin, PHARM D.
• Barrington Healthcare Inc
• Douglas Norman Bauer, DDS
• Jonathan Beckerman, DMD
• Behavioral Services Center

• Psychologist in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.