Active NPI
Balanced Minds LLC
- Psychiatry Physician
- Crown Point, IN
National Provider Identifier
1679481824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BALANCED MINDS LLC
- Practice address
- 10376 Hanley St
Crown Point, IN 46307-2820 - Phone
- (219) 512-5459
- NPI assigned
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Fouch, PMHNP
- Title
- Provider
- Phone
- (219) 512-5459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
10376 Hanley St
Crown Point, IN 46307-2820
Mailing address
2213 E Queens Way
Bloomington, IN 47401-6847
Phone (219) 512-5459
Other names 1
- Balanced Minds Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1679481824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 E QUEENS WAY",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474016847",
"telephone_number": "219-512-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10376 HANLEY ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463072820",
"telephone_number": "219-512-5459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED MINDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "FOUCH",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "219-512-5459",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balanced Minds Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.