Organization Active NPI

Balance Mental Health Group

  • Adult Mental Health Clinic/Center
  • Peabody, MA
National Provider Identifier
1508689704
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BALANCE MENTAL HEALTH GROUP
Practice address
100 Corporate PL Ste 404
Peabody, MA 01960-3809
Phone
(513) 335-3366
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Andrew O'Neill, MBA
Title
Clinic Administrator
Phone
(513) 335-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

100 Corporate PL Ste 404
Peabody, MA 01960-3809

Mailing address

100 Corporate PL Ste 404
Peabody, MA 01960-3809
Phone (513) 335-3366

National Provider Directory

National Provider Directory

Locations

100 Corporate Pl
Ste 404
Peabody, MA 01960
Phone (513) 335-3366

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1508689704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE PL STE 404",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603809",
            "telephone_number": "513-335-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE PL STE 404",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603809",
            "telephone_number": "513-335-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE MENTAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "513-335-3366",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.