Organization Active NPI

Balanced Mind Therapy

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1295324671
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BALANCED MIND THERAPY
Practice address
700 E 61St St
Chicago, IL 60637-5375
Phone
(773) 234-8446
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Authorized official

Name
Joyce Harduvel, LSWNPI 1225625163
Title
Co-Owner
Phone
(773) 234-8446

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

700 E 61St St
Chicago, IL 60637-5375

Mailing address

700 E 61St St
Chicago, IL 60637-5375

National Provider Directory

National Provider Directory

Locations

700 E 61st St
Unit 377761
Chicago, IL 60637
Phone (847) 905-6250

700 E 61st St
Chicago, IL 60637
Phone (773) 234-8446

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1295324671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 61ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 61ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375375",
            "telephone_number": "773-234-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "HARDUVEL",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "773-234-8446",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

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