TDJ Enterprise, LLC (Dba Brain Balance of Cincinnati)

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

TDJ ENTERPRISE, LLC (DBA BRAIN BALANCE OF CINCINNATI)

Practice address

12084 Montgomery Rd
Cincinnati, OH 45249-1729

Phone

(513) 707-0125

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Sherry Martz

Title

Owner

Phone

(513) 707-0125

Specialties & licenses 1

Addresses

Other names 1

• Brain Balance of Cincinnati Doing business as

Locations

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1255023792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12084 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491729",
            "telephone_number": "513-707-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12084 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491729",
            "telephone_number": "513-707-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDJ ENTERPRISE, LLC (DBA BRAIN BALANCE OF CINCINNATI)",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "MARTZ",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-707-0125"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Balance of Cincinnati",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie-Madelein N. Tchamake-Zuck
• Rodrigue Tchinda
• Tchma Forest Hills Internal Medicine
• TD Business Enterprise LLC
• TD Oncology Services LLC
• Micah Teach
• Alexander Jeffory Teague, MD
• Anna Teague
• Anna Bernice Teague, BSN, RN, SRNA
• Timothy John Teague, AU.D.

• Developmental Disabilities Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Developmental Disabilities Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.