Organization Active NPI

Balanced Minds Boston LLC

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1427713544
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BALANCED MINDS BOSTON LLC
Practice address
350 Harrison Ave Unit 508
Boston, MA 02118-3865
Phone
(617) 913-0928
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Ms. Lizabeth Flash, PMHNP-NP
Title
Owner
Phone
(617) 913-0928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

350 Harrison Ave Unit 508
Boston, MA 02118-3865

Mailing address

350 Harrison Ave Unit 508
Boston, MA 02118-3865
Phone (617) 913-0928

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Desktop

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1427713544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HARRISON AVE UNIT 508",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183865",
            "telephone_number": "617-913-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HARRISON AVE UNIT 508",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183865",
            "telephone_number": "617-913-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MINDS BOSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "FLASH",
        "authorized_official_first_name": "LIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-913-0928",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "350 Harrison Ave Unit 508",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021183865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.