Organization Active NPI

Balanced Mind and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1821809351
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BALANCED MIND AND WELLNESS
Practice address
481 Hackensack Ave FL 2
Hackensack, NJ 07601-6330
Phone
(201) 881-9773
Fax
(254) 629-5535
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Anita DurnenNPI 1245684281
Title
Owner
Phone
(201) 881-9773

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

481 Hackensack Ave FL 2
Hackensack, NJ 07601-6330

Mailing address

501 N Rte 17 Ste 1
Paramus, NJ 07652-3000
Phone (201) 881-9773

Other practice location 1

2185 Lemoine Ave Ste 1G
Fort Lee, NJ 07024-6030
Phone (201) 881-9773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905001905 NJ Part B Supplier - Clinic/Group Practice 1355843707 Receives reassigned benefits from 1 practitioner
Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Locations

481 Hackensack Ave
Fl 2
Hackensack, NJ 07601
Phone (201) 881-9773

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": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1821809351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N RTE 17 STE 1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523000",
            "telephone_number": "201-881-9773",
            "fax_number": "254-629-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 HACKENSACK AVE FL 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016330",
            "telephone_number": "201-881-9773",
            "fax_number": "254-629-5535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2185 Lemoine Ave Ste 1G",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070246030",
            "country_code": "US",
            "telephone_number": "201-881-9773",
            "fax_number": "254-629-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED MIND AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "DURNEN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-881-9773"
    },
    "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": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.