Organization Active NPI

Being Balanced Psychological Services PLLC

  • Clinical Neuropsychologist
  • Franklin, TN
National Provider Identifier
1629842364
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
BEING BALANCED PSYCHOLOGICAL SERVICES PLLC
Practice address
357 Riverside Dr Ste 1000
Franklin, TN 37064-5451
Phone
(931) 223-4648
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Leslie Russell-Martin, PHD LPNPI 1073603163
Title
Owner
Phone
(931) 223-4648

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 NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

357 Riverside Dr Ste 1000
Franklin, TN 37064-5451

Mailing address

3406 Gillespie LN
Columbia, TN 38401-8236

National Provider Directory

National Provider Directory

Locations

357 Riverside Dr
Ste 1000
Franklin, TN 37064
Phone (800) 304-1098

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1629842364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 GILLESPIE LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384018236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 RIVERSIDE DR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645451",
            "telephone_number": "931-223-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEING BALANCED PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL-MARTIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-223-4648",
        "authorized_official_credential": "PHD LP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.