Shannon Bruey Pmhmp LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHANNON BRUEY PMHMP LLC

Doing business as

Balanced Mental Health

Practice address

121 W Maple Ave
Enid, OK 73701-4027

Phone

(580) 984-1115

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Bruey, PMHMPNPI 1265985717

Title

Owner/Provider

Phone

(580) 984-1115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Balanced Mental Health Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Bruey

  • Nurse Practitioner
  • Stillwater, OK
  • NPI 1265985717
  NPD Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1598347288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAPLE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014027",
            "telephone_number": "580-984-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAPLE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014027",
            "telephone_number": "580-984-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON BRUEY PMHMP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "BRUEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "580-984-1115",
        "authorized_official_credential": "PMHMP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OK",
            "identifier": "12659854717",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bmh.clinic",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web",
            "address_1": "121 W Maple Ave",
            "city": "Enid",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737014027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Balanced Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon L Semrad, MCP, LPC
• Senior NH, LLC (Enid Senior Care)
• Seth H Switzer MD PC
• Jeannine L. Shafer, LCSW
• Shamrock Counseling Services LLP
• Sharon Groves, PLLC
• Christopher A Shearer, DO
• Garrett Shelton, MD
• Jeffrey Shelton
• Lorrene Louise Shelton, LPC

• Psychiatric/Mental Health Nurse Practitioner in Enid, OK
• Providers in Enid, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.