Organization Active NPI

Balanced Healthcare LLC

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1285298372
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BALANCED HEALTHCARE LLC
Practice address
1002 Irving St NE
Washington, DC 20017-3418
Phone
(202) 525-5832
Fax
(202) 808-9373
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Tama Gillis, MD
Title
Owner/Provider
Phone
(202) 525-5832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1002 Irving St NE
Washington, DC 20017-3418

Mailing address

2827 30TH St NE
Washington, DC 20018-1438
Phone (202) 525-5832

National Provider Directory

National Provider Directory

Locations

1809 Rhode Island Ave NE
Washington, DC 20018
Phone (202) 525-5832

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1285298372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 30TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181438",
            "telephone_number": "202-525-5832",
            "fax_number": "202-808-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 IRVING ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173418",
            "telephone_number": "202-525-5832",
            "fax_number": "202-808-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "TAMA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "202-525-5832",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.