PH Balance Therapeutics

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PH BALANCE THERAPEUTICS

Practice address

525 3Rd Ave Ste 211C
Longmont, CO 80501-5859

Phone

(720) 410-4529

NPI assigned

Oct 4, 2023

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 Perea-Hickam, PHD, BCBA, MFTC, ADD

Title

Ceo & Founder

Phone

(720) 410-4529

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1467232660",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 3RD AVE STE 211C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015859",
            "telephone_number": "720-410-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH BALANCE THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "PEREA-HICKAM",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "720-410-4529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA, MFTC, ADD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle M Pfeifer, MD
• Sarah Phyllis Janine Pfeiffer
• PH Balance Advocates
• PH Balance Behavioral
• PH Balance Practitioners
• Cara Noelle Phelps, LMT
• Phelps, Inc (Phelps Shoes & Repair)
• Diana Phillips, RN
• Jessica Lynn Hadwin Phillips, M.D.
• Shawna Phillips, FNP

• Marriage & Family Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Marriage & Family Therapist 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.