Balanced Wellbeing Nationwide PA
Organization Active NPI Psychiatry Physician · Williston, VT
NPI 1386589349 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1386589349
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- BALANCED WELLBEING NATIONWIDE PA
- Practice address
- 300 Interstate Corporate Ctr Ste 300
Williston, VT 05495-7821 - Phone
- (877) 779-2429
- NPI assigned
- Apr 23, 2026
- Organization subpart
- No
Authorized official
- Name
- Dr. Parikshit Deshmukh, MD
- Title
- Cio
- Phone
- (352) 445-1200
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Practitioners 23
-
Lisa Sweeney, ARNP
-
Gaurav Ashok Kulkarni, M.D.
-
Cory Lee McCormick, ARNP
-
Titi Camara, FNP-BC
-
Kristopher Chuma, RN
-
Joseph Edward Dunn, LSW
-
Sarah Beth Finocchiaro, CRNP,APN
-
Wilma Saenz Fisk, ACNPC, APNP
-
Jessica Antoinette Fripp, M.ED.
-
Glenna Gilles, APRN
-
Carlett Nicole Jethroe, APRN, FNP-C
-
Melissa Kulbis, AGNP
-
Nicole Marie Losh, LPC
-
Javier Perez, FNP-C
-
Kaitlynn Pownall, LPC
-
Subhash Puri, PMHNP-BC
-
Scott A Richardson, LCSW
-
Yanet Quiles, APRN,PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260608004153 | VT | Part B Supplier - Clinic/Group Practice | 7012405145 |
Receives reassigned benefits from 1 practitioner Practice locations: Williston, VT |
National Provider Directory
- Tax ID family
- Balanced Wellbeing Nationwide PA
Locations
300 Interstate Corporate Ctr
Ste 300
Williston, VT 05495
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
300 Interstate Corporate Ctr Ste 300
Williston, VT 05495-7821
Mailing address
3932 W Eau Gallie Blvd
Melbourne, FL 32934-3283
Other providers in Williston, VT
- Augmentative Learning and Movement Center, LLC
- Shawn Babich
- Molly Backup
- Casey Baczewski
- Kennedy Marisa Baggott
- Sheila Catherine Bannister
- Jacqueline Barone
- Samantha Barr
- Maribel Barria
- Thomas M Barritt
All providers in Williston, VT · Psychiatry Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.