NPIMap

Organization Active NPI

Balance Center for Children and Families, LLC

  • Clinical Social Worker
  • Tigard, OR
National Provider Identifier
1619219524
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5639 Issued in OR
Legal business name
BALANCE CENTER FOR CHILDREN AND FAMILIES, LLC
Practice address
7440 SW Hunziker Road
Suite: F
Tigard, OR 97223
Phone
(503) 596-2222
Fax
(503) 233-0187
NPI assigned
Mar 19, 2013
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Mrs. Azanet Cabezas, PSY.D.NPI 1639398282
Title
Owner
Phone
(503) 596-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L5639 OR Primary

Addresses

Primary practice location

7440 SW Hunziker Road
Suite: F
Tigard, OR 97223

Mailing address

7440 SW Hunziker Road
Suite: F
Tigard, OR 97223
Phone (503) 596-2222

National Provider Directory

National Provider Directory

Locations

7440 SW Hunziker Rd
Ste F
Tigard, OR 97223
Phone (503) 596-2222

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1619219524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 SW HUNZIKER ROAD",
            "address_2": "SUITE: F",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-596-2222",
            "fax_number": "503-233-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 SW HUNZIKER ROAD",
            "address_2": "SUITE: F",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-596-2222",
            "fax_number": "503-233-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE CENTER FOR CHILDREN AND FAMILIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "CABEZAS",
        "authorized_official_first_name": "AZANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-596-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.