Active NPI
Balanced Living Psychiatric Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Southington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BALANCED LIVING PSYCHIATRIC WELLNESS LLC
- Practice address
- 1 Center St Ste 2B
Southington, CT 06489-3102 - Phone
- (860) 637-0745
- NPI assigned
- Jul 15, 2026
- Last updated
- Jul 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Anderson, APRN, PMHNP
- Title
- Owner
- Phone
- (860) 637-0745
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1 Center St Ste 2B
Southington, CT 06489-3102
Mailing address
1 Center St Ste 2B
Southington, CT 06489-3102
Phone (860) 637-0745
National Provider Directory
National Provider DirectoryLocations
1 Center St
Ste 2B
Southington, CT 06489
Phone (203) 980-6089
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Southington, CT
- NPI 1861282451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1255250866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CENTER ST STE 2B",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893102",
"telephone_number": "860-637-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CENTER ST STE 2B",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893102",
"telephone_number": "860-637-0745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED LIVING PSYCHIATRIC WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-637-0745",
"authorized_official_credential": "APRN, PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.