Organization Active NPI

Mind Balance, LLC

  • Clinical Psychologist
  • Apex, NC
National Provider Identifier
1316780661
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MIND BALANCE, LLC
Practice address
100 Kylesku CT
Apex, NC 27502-9076
Phone
(919) 297-8187
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Dr. Colby Mills, PHDNPI 1851450076
Title
Owner/Psychologist
Phone
(919) 297-8187

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

100 Kylesku CT
Apex, NC 27502-9076

Mailing address

4111 Rose Lake Dr Ste E
Charlotte, NC 28217-2864
Phone (919) 297-8187

National Provider Directory

National Provider Directory

Locations

4111 Rose Lake Dr
Ste E
Charlotte, NC 28217
Phone (704) 313-6711

Practitioners & affiliated clinicians

Practitioners 1

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": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1316780661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 ROSE LAKE DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172864",
            "telephone_number": "919-297-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KYLESKU CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029076",
            "telephone_number": "919-297-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-297-8187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.