Organization Active NPI

Balanced Mind Therapy PLLC

  • Community/Behavioral Health Agency
  • Madison Heights, MI
National Provider Identifier
1275106262
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BALANCED MIND THERAPY PLLC
Practice address
27779 Osmun St
Madison Heights, MI 48071-3337
Phone
(248) 534-7122
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Kristara McAlpine-Taylor, MSWNPI 1487010088
Title
Social Worker/Therapist
Phone
(248) 534-7122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

27779 Osmun St
Madison Heights, MI 48071-3337

Mailing address

27779 Osmun St
Madison Heights, MI 48071-3337
Phone (248) 534-7122

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1275106262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27779 OSMUN ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713337",
            "telephone_number": "248-534-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27779 OSMUN ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713337",
            "telephone_number": "248-534-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MIND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MCALPINE-TAYLOR",
        "authorized_official_first_name": "KRISTARA",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "248-534-7122",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.