Balanced Minds PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

BALANCED MINDS PC

Practice address

11911 NE 1St St Ste 208
Bellevue, WA 98005-3056

Phone

(425) 217-3546

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Joni Tudor HowardNPI 1972926129

Title

Owner

Phone

(425) 217-3546

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joni Tudor Howard, PH.D

  • Clinical Psychologist
  • Bellevue, WA
  • NPI 1972926129

  Clinical Neuropsychologist

  NPD Authorized official
• Erica Margaret Brandling-Bennett, PHD

  • Psychologist
  • Renton, WA
  • NPI 1063682516
  NPD
• Luke Vaartstra, PH.D

  • Clinical Neuropsychologist
  • Bellevue, WA
  • NPI 1174401434
  NPD

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1508328279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 NE 1ST ST STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053056",
            "telephone_number": "425-502-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 NE 1ST ST STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053056",
            "telephone_number": "425-217-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MINDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "TUDOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-217-3546"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Bakhtawar, DMD
• Bakodent Denturist Clinic
• Daniella Balabolina
• Balance & Flow Physio LLC
• Balanced Mind Therapy and Wellness PLLC
• Natasha K Balani, OD
• Neron Balassanian, MD
• Jessica Balazic
• Luis Balcarcel
• Brett W Baldwin

• Clinical Neuropsychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.