PH Balance Advocates

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PH BALANCE ADVOCATES

Practice address

954 5TH Ave
Longmont, CO 80501-5424

Phone

(720) 410-4529

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Arthur Pereahickam, PHD, BCBA

Title

Founder and Ceo

Phone

(720) 410-4529

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1306439674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 5TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015424",
            "telephone_number": "204-104-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 5TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015424",
            "telephone_number": "720-410-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH BALANCE ADVOCATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "PEREAHICKAM",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "720-410-4529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Peterson, MSPT
• Ralph Lynn Petrilli, M.D.
• Kaitlin R Petschke
• Lyle M Pfeifer, MD
• Sarah Phyllis Janine Pfeiffer
• PH Balance Behavioral
• PH Balance Practitioners
• PH Balance Therapeutics
• Cara Noelle Phelps, LMT
• Phelps, Inc

• Community/Behavioral Health Agency in Longmont, CO
• Providers in Longmont, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.