Organization Active NPI

Health Balance Mind Body Spirit

  • Community/Behavioral Health Agency
  • Neptune, NJ
National Provider Identifier
1710379136
Registry record updated Feb 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALTH BALANCE MIND BODY SPIRIT
Practice address
308 Graham Ave
260 Casio Drive Farmingdale
Neptune, NJ 07753-8312
Phone
(732) 221-9127
NPI assigned
Feb 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2015

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

Authorized official

Name
Ms. Diane Lorraine Bleimann, LCADC
Title
Licensed Clinical Alcohol Counselor
Phone
(732) 221-9127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NJ Primary

Addresses

Primary practice location

308 Graham Ave
260 Casio Drive Farmingdale
Neptune, NJ 07753-8312

Mailing address

308 Graham Ave
Neptune, NJ 07753-8312
Phone (732) 221-9127

Other identifiers 1

IdentifierTypeStateIssuer
473152822MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424563200000",
    "number": "1710379136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GRAHAM AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077538312",
            "telephone_number": "732-221-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GRAHAM AVE",
            "address_2": "260 CASIO DRIVE FARMINGDALE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077538312",
            "telephone_number": "732-221-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH BALANCE MIND BODY SPIRIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-02-22",
        "status": "A",
        "authorized_official_last_name": "BLEIMANN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "LICENSED CLINICAL ALCOHOL COUNSELOR",
        "authorized_official_telephone_number": "732-221-9127",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473152822",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; 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.