Organization Active NPI

Balanced Mind Behavioral Healthcare Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1801517545
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BALANCED MIND BEHAVIORAL HEALTHCARE INC
Practice address
5050 Quorum Dr
Dallas, TX 75254-7564
Phone
(817) 677-0750
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Mr. Nestor AkpunkuNPI 1942921671
Title
Director
Phone
(817) 677-0750

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5050 Quorum Dr
Dallas, TX 75254-7564

Mailing address

PO Box 382896
Duncanville, TX 75138-2896
Phone (817) 677-0750

Other names 1

  • Balanced Mind Behavioral Healthcare Inc Other name

National Provider Directory

National Provider Directory

Locations

5050 Quorum Dr
Dallas, TX 75254
Phone (469) 373-3991

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": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1801517545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382896",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751382896",
            "telephone_number": "817-677-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547564",
            "telephone_number": "817-677-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MIND BEHAVIORAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-10",
        "status": "A",
        "authorized_official_last_name": "AKPUNKU",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-677-0750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Mind Behavioral Healthcare Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.