Active NPI
Balance Psychological Services PLLC
- Psychologist
- Edmond, OK
National Provider Identifier
1295425890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- BALANCE PSYCHOLOGICAL SERVICES PLLC
- Practice address
- 16009 Petaluma PL
Edmond, OK 73013-2201 - Phone
- (917) 200-1461
- NPI assigned
- May 9, 2023
- 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
- Sheena Mehta, PHD
- Title
- Licensed Psychologist
- Phone
- (917) 200-1461
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Counseling Psychologist | 103TC1900X | |||
| Health Service Psychologist | 103TH0100X | |||
| School Psychologist | 103TS0200X |
Addresses
Primary practice location
16009 Petaluma PL
Edmond, OK 73013-2201
Mailing address
3035 NW 63Rd St Ste 227
Oklahoma City, OK 73116-3631
Phone (405) 242-6460
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Service Psychologist
- Oklahoma City, OK
- NPI 1285142513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1295425890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 NW 63RD ST STE 227",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163631",
"telephone_number": "405-242-6460",
"fax_number": "405-544-5916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16009 PETALUMA PL",
"city": "EDMOND",
"state": "OK",
"postal_code": "730132201",
"telephone_number": "917-200-1461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE PSYCHOLOGICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-09",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "SHEENA",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "917-200-1461",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.