Balanced Life Psychiatry

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BALANCED LIFE PSYCHIATRY

Practice address

2320 E Baseline Rd Ste 148-171
Phoenix, AZ 85042-6957

Phone

(480) 546-8685

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Venus Bonnett, PMHNPNPI 1154828325

Title

Owner

Phone

(480) 546-8685

Specialties & licenses 1

Addresses

Locations

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.

• Venus Bonnett, PMHNP

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1154828325
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1851972657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD STE 148-171",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426957",
            "telephone_number": "480-546-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD STE 148-171",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426957",
            "telephone_number": "480-546-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "BONNETT",
        "authorized_official_first_name": "VENUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-546-8685",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Balaban, PHD
• Diya Balachandran
• Anupama Balaji, M.D.
• Sudha Balan, MD
• Balanced Health Medical Center
• Kristina G Balangue, MD
• Jennifer K Balbarin, P.T.
• Nicolas Balbi Caruso
• Charles Douglas Balcome, ACNP
• Sarah Bald, PSYD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.