Center for Vitality and Balance, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

071008297 Issued in IL

Legal business name

CENTER FOR VITALITY AND BALANCE, LLC

Practice address

1280 Iroquois Ave Ste 404
Naperville, IL 60563-8570

Phone

(630) 286-0993

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sandra G Carey, PSYD, MS

Title

Director

Phone

(630) 286-0993

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1972934610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 IROQUOIS AVE STE 404",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638570",
            "telephone_number": "630-286-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 IROQUOIS AVE STE 404",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638570",
            "telephone_number": "630-286-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VITALITY AND BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-286-0993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "071008297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Naperville, IL
• Providers in Naperville, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.