Active NPI
Balanced Living Therapy
- Clinical Social Worker
- Belleville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BALANCED LIVING THERAPY
- Practice address
- 91 Tappan Ave
Belleville, NJ 07109-2661 - Phone
- (551) 221-4165
- NPI assigned
- Jun 25, 2019
- Last updated
- Jul 9, 2024
- 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
- Imaan Ramjan
- Title
- Owner
- Phone
- (973) 306-4186
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
91 Tappan Ave
Belleville, NJ 07109-2661
Mailing address
91 Tappan Ave
Belleville, NJ 07109-2661
Phone (551) 221-4165
National Provider Directory
National Provider DirectoryLocations
971 Stuyvesant Ave
Ste 12
Union, NJ 07083
Phone (973) 306-4186
Practitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Belleville, NJ
- NPI 1720538333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1801457346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 TAPPAN AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071092661",
"telephone_number": "551-221-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 TAPPAN AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071092661",
"telephone_number": "551-221-4165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED LIVING THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-25",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "RAMJAN",
"authorized_official_first_name": "IMAAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-306-4186"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.