Balance Treatment Slo, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BALANCE TREATMENT SLO, INC

Practice address

1551 Bishop St
Ste 130a
San Luis Obispo, CA 93401-4635

Phone

(805) 441-7566

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Cusack

Title

Cfo

Phone

(323) 646-9271

Specialties & licenses 4

Addresses

Tax ID family

Balance Treatment Slo Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Balance Treatment Slo, Inc.

  • Adult Mental Health Clinic/Center
  • Monterey, CA
  • NPI 1487376315
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Balance Treatment Slo, Inc.

  • Adult Mental Health Clinic/Center
  • Monterey, CA
  • NPI 1487376315
  NPPES parent name

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1295110674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 LAS VIRGENES RD",
            "address_2": "STE 201",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021956",
            "telephone_number": "818-880-0800",
            "fax_number": "818-880-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "address_2": "STE 130A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014635",
            "telephone_number": "805-441-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE TREATMENT SLO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-646-9271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne P Baker
• Bakersfield Sleep Center
• Suzanne Elizabeth Bakke, PA-C
• Natasha Bala
• Amber Lynn Balais
• Miranda Balcazar
• Kenneth Leslie Baldwin, MD
• Larry Baldwin, M.D.
• Sheri Lynette Baldwin, P.T.
• Mike Ball, MS

• Adult Mental Health Clinic/Center in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.