Balanced Mind Integrative Care, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BALANCED MIND INTEGRATIVE CARE, LLC

Doing business as

Balanced Mind Mental Health

Practice address

3440 Hollywood Blvd Ste 415
Hollywood, FL 33021-6933

Phone

(954) 367-2313

NPI assigned

Dec 30, 2020

Organization subpart

No

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

Authorized official

Name

Sara Gena Israel, APRNNPI 1154988814

Title

Owner of Entity

Phone

(954) 295-7116

Specialties & licenses 1

Addresses

Other names 1

• BALANCED MIND MENTAL HEALTH Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Gena Israel, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hollywood, FL
  • NPI 1154988814
  Authorized official Same address or phone

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1346837812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD STE 415",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216933",
            "telephone_number": "954-295-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD STE 415",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216933",
            "telephone_number": "954-367-2313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10411 Motor City Dr Ste 750",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171289",
            "country_code": "US",
            "telephone_number": "301-450-6903",
            "fax_number": "954-800-5208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED MIND INTEGRATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "GENA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "954-295-7116",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@balancedmindic.com",
            "affiliation": "N",
            "address_1": "3440 Hollywood Blvd Ste 415",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BALANCED MIND MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.