Nubalance Behavioral Health Services, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NUBALANCE BEHAVIORAL HEALTH SERVICES, LLC

Practice address

116 W King St FL 1
Malvern, PA 19355-2412

Phone

(610) 466-5335

Fax

(610) 465-9688

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Matthew Amici

Title

Owner

Phone

(267) 603-3140

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.

• Michael Xuehui Su, M.D

  • Psychiatry Physician
  • Norristown, PA
  • NPI 1881851004
  NPD (past)

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1245940436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W KING ST FL 1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552412",
            "telephone_number": "610-466-5335",
            "fax_number": "610-465-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W KING ST FL 1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552412",
            "telephone_number": "610-466-5335",
            "fax_number": "610-465-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUBALANCE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "AMICI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-603-3140"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Neri, MSN, CRNP
• Hoagam Nguyen
• Matthew Liam Nguyen, PT
• Karl Alexander Nivison, PT
• Novacare Outpatient Rehabilitation East, Inc.
• Victoria W Nyanue
• Lauren O'Brien, M.ED.
• Ryan O'Kane, DAT, LAT, ATC
• Olamide Obilana
• Charles J Odgers, M.D.

• Psychiatry Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.